Transcatheter closure of ruptured sinus of valsalva to left ventricle

Manuel, Devi A; Lahiri, Anandaroop; George, Oommen K

doi:10.4103/0974-2069.171386

Ann Pediatr Card

2016

DOI: 10.4103/0974-2069.171386

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Transcatheter closure of ruptured sinus of valsalva to left ventricle

Devi A Manuel

Anandaroop Lahiri

Oommen K George

Abstract: We report a rare case of ruptured right sinus of valsalva into the left ventricle (LV). Transthoracic echocardiography showed a marked turbulent flow from the right aortic sinus to the LV. We describe a novel technique of closure of this defect with duct occluder, involving the formation of an arterio-arterial loop, without resorting to the usual arteriovenous loop.

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2023

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Transcatheter closure of a ruptured sinus of valsalva: a systematic review of the literature

Ayati,

Toofaninejad,

Hosseinsabet

et al. 2023

Front. Cardiovasc. Med.

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BackgroundRuptured sinus of Valsalva (RSOV) is a rare pathology, and current data regarding its symptoms, anatomy, associated pathologies, and appropriate therapeutic approaches are scarce. Transcatheter closure (TCC) has been performed in multiple cases; however, the information on its success rate and complications is limited.MethodsTwo independent reviewers performed an advanced search based on inclusion criteria on Scopus, PubMed, and Embase from January 1985 through July 2022. The main search terms were “Sinus of Valsalva”, “Rupture/Aneurysm”, and “Transcatheter/Catheter/Device”.ResultsTotally, 1,017 relevant articles from the 3 databases were retrieved. After the final review and appraisal, 94 articles describing 407 patients who underwent the TCC of RSOV were included. Males comprised 65% of the studied patients, and the average age was 34.5 years. The total success rate of TCC was 95.6%. Forty-nine patients (12%) developed complications, the most significant of which were sustained residual shunts in 7 patients (1.7%), substantial new onset or progression of aortic insufficiency in 6 (1.5%), and RSOV recurrence in 6 (1.5%). Post-interventional mortality was reported in only 2 patients (0.5%).ConclusionsThe present study is the first systematic review of available data regarding the TCC of RSOV principally comprising case series and case reports. Although TCC seems a good option, precise patient selection is mandatory.

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Transcatheter closure of a ruptured sinus of valsalva: a systematic review of the literature

Ayati,

Toofaninejad,

Hosseinsabet

et al. 2023

Front. Cardiovasc. Med.

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show abstract

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Transcatheter closure of ruptured sinus of valsalva to left ventricle

Cited by 1 publication

References 10 publications

Transcatheter closure of a ruptured sinus of valsalva: a systematic review of the literature

Transcatheter closure of a ruptured sinus of valsalva: a systematic review of the literature

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