Transcatheter occlusion of ruptured sinus of valsalva aneurysm: Innovative use of available technology

Rao, P. Syamasundar; Bromberg, Burt I.; Jureidini, Saadeh B.; Fiore, Andrew C.

doi:10.1002/ccd.10394

Cited by 46 publications

(28 citation statements)

References 21 publications

(14 reference statements)

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“…Because no devices have been specially designed for these defects, several devices, such as the Gianturco coil, 14 Amplatzer AO, aorta; AVB, atrioventricular block; IRBBB, incomplete right bundle branch block; NYHA, New York Heart Association; NCS, noncoronary sinus; PA, pulmonary artery; RA, right atrium; RCS, right coronary sinus; RV, right ventricle.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Outcomes of Transcatheter Closure of Ruptured Sinus Valsalva Aneurysms Using Patent Ductus Arteriosus Occluders

Fang

Huang

Tang

et al. 2014

Circ J

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Section: Discussionmentioning

confidence: 99%

Long-Term Outcomes of Transcatheter Closure of Ruptured Sinus Valsalva Aneurysms Using Patent Ductus Arteriosus Occluders

Fang

Huang

Tang

et al. 2014

Circ J

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“…14 Rao et al reported the use of a Gianturco coil 0.052" with a bioptome assisted technique to close RSVA in one. 15 Fedson et al reported use of the Amplatzer duct occluder in closing the RSVA in a patient in whom the retention disc was deployed in the aneurysm and the rest of the device to the drainage site. 16 Arora et al reported a series of 8 patients with RSVA, who underwent transcatheter closure with Amplatzer duct occluder in 5, an Amplatzer septal occluder in 1 and a Rashkind umbrella device in 2.…”

Section: Discussionmentioning

confidence: 99%

Transcatheter Closure of a Ruptured Sinus of Valsalva Aneurysm

Chang

Chiu

et al. 2006

Circ J

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uptured sinus of Valsalva aneurysms (RSVA) are rare and usually occurs in adolescence to early adulthood. 1 They are most commonly congenital in origin and caused by a weakness of the wall of the sinus Valsalva above the aortic valve annulus and leads to progressive dilatation, eventually rupturing into one of the 4 chambers of the heart or the mediastinum. 2 The aneurysm most commonly arises from the right coronary sinus (RCS) of Valsalva and most frequently ruptures into the right ventricle with a wind-sock like structure projecting from the sinus into which it ruptures. Surgical repair is the traditional treatment for RSVA. 3 With the advent of the transcatheter technique, transcatheter closure of the RSVA could be an alternative treatment. We report the results of transcatheter treatment of RSVA in 4 patients. with sudden-onset exertional dyspnea and palpitation. Bounding pulses and a continuous murmur could be detected in all patients. The diagnosis of RSVA is based on transthoracic 2-dimensional (D) echocardiography with color Doppler and angiography. Two patients had a cardiac chamber dilatation. All 4 patients underwent attempted transcatheter closure of the RSVA after obtaining consent from the patient or parents. Methods ProceduresUnder local anesthesia, the femoral vein and artery were cannulated with a sheath. Heparin (50 units/kg) was administered before the procedure and one dose of cephradine arginine was given. Hemodynamic studies and angiography were performed in all patients to calculate the pulmonaryto-systemic ratio (Qp:Qs) and to delineate the morphology of RSVA and the opening site (Fig 1). After general anesthesia, transesophageal echocardiography (TEE) was performed to monitor the procedure. The maximal diameter of the aortic opening of the RSVA was measured on multiplane TEE images. The distance between the aortic opening site of the RSVA and the right or left coronary ostium was also measured on TEE images. A 5 or 6Fr right Judkin catheter was advanced from the right femoral artery to the ostium of the RSVA. A 0.014 coronary extra-support guidewire (Boston Scientific, SCIMED, Natick, MA, USA) with a soft and floppy end was advanced through the catheter into the right atrium or the main pulmonary artery. A 10-mm Goose Neck Snare (Microvena, White Bear Lake, MN, USA) was advanced through the right femoral venous sheath, snared the coronary guidewire in the right atrium or the main pulmonary artery, and exteriorized the coronary wire through the right femoral vein. An arteriovenous rail

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“…8 Advances in cardiac catheterisation technology have resulted in a wide range of devices and coils which can be used to close a RSVA. [9][10][11][12][13][14][15] Retrograde and combined minimally invasive surgery hybrid approaches have been described in certain cases. 16,17 Based on a retrospective review of 257 patients, Guo et al proposed a new system of simple surgical classification for right-sided defects according to rupture site.…”

Section: Discussionmentioning

confidence: 99%

Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm: Report of two cases

Al-Senaidi

Al-Farqani

Maddali

et al. 2016

SQUMJ

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Transcatheter occlusion of ruptured sinus of valsalva aneurysm: Innovative use of available technology

Cited by 46 publications

References 21 publications

Long-Term Outcomes of Transcatheter Closure of Ruptured Sinus Valsalva Aneurysms Using Patent Ductus Arteriosus Occluders

Long-Term Outcomes of Transcatheter Closure of Ruptured Sinus Valsalva Aneurysms Using Patent Ductus Arteriosus Occluders

Transcatheter Closure of a Ruptured Sinus of Valsalva Aneurysm

Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm: Report of two cases

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