Transcatheter Closure of Ruptured Sinus Valsalva Aneurysms With Amplatzer Occluder

Clinical efficacy and safety of transcatheter closure of ruptured sinus of valsalva aneurysm

“…The procedure with ADO became more convenient and safe as the device was delivered from femoral vein after the establishment of arteriovenous loop. There are also reports on closure with the Amplatzer atrial septal occluder and Amplatzer muscular VSD occluder . Some investigators believe that the size of the occluder should be 1 to 4 mm larger than that of the maximal diameter of aortic opening of RSVA .…”

“…Successful transcatheter closure (TCC) for RSVA is being increasingly reported since 1994 . However, most of previous reports were single case reports or small series without information of left ventricular (LV) function and echocardiography parameters after procedure . In the present report, we described the safety and efficacy of TCC on 22 RSVA cases with special focus on hemodynamic change, indication, and severe procedure‐related complications.…”

Complex Interventions in the Adult with Congenital Heart Disease

“…8). Percutaneous repair is primarily suitable for those aneurysms that have ruptured into the right atrium or ventricle, although there have also been case reports with rupture into the PA. 69 Although a percutaneous procedure may occlude the shunt, the inherent weakness and abnormality of the aortic wall persists. Other instances that favor a surgical approach include rupture into the left ventricle, significant proximity of ruptured aneurysm into a coronary ostium, or evidence of an elevated pulmonary vascular resistance or reversal of shunt direction.…”

Oclusão percutânea de defeitos cardíacos congênitos e estruturais com amplatzer duct occluder II TM

“…não sendo necessário o estabelecimento de alça arteriovenosa, comumente utilizada nesse procedimento. 23,24 Um cateter-guia terapêutico 6 F multipurpose foi utilizado como sistema de entrega. Outra via de acesso arterial 6 F foi utilizada para angiografias de controle com cateter pig-tail.…”