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Transcatheter closure of sinus of Valsalva aneurysm rupture in a young patient

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Aneurysm of sinus of Valsalva is rare and this type of aneurysm is typically congenital or acquired. It is usually in the right or noncoronary sinuses [1–3]. A 24-year-old patient was admitted to the outpatient clinic with dyspnea. Physical examination revealed a grade 4 continuous murmur. Transesophageal echocardiography (TEE) revealed a ruptured sinus of Valsalva aneurysm left-to-right shunt from the aorta into the right atrium and rheumatic aortic valve. The patient had high fevers and weakness 2 weeks ago. Sinus of Valsalva aneurysm might be ruptured due to infective endocarditis. Surgical repair is recommended in patients with ruptured sinus of Valsalva aneurysm, especially with intracardiac shunting. Our patient underwent a successful transcatheter closure of sinus of Valsalva aneurysm rupture procedure with a 12/14 mm PDA occluder device (Cardiofix, Starway Medical, Beijing China). Transesophageal echocardiography confirmed that the device was in a suitable position. Transcatheter closure of sinus of Valsalva aneurysm rupture is feasible, effective and safe.

References

 1. Ertaş G, Cetinkaya AS, Mehmetog˘lu ME. Ruptured sinus of Valsalva aneurysm association with bicuspid aortic valve. Neth Heart J 2013; 21: 48–49.

 2. Zhao SH, Yan CW, Zhu XY, et al. Transcatheter occlusion of the ruptured sinus of Valsalva aneurysm with an Amplatzer duct occluder. Int J Cardiol 2008; 129: 81–85.

 3. Akdemir R, Yeter E, KIlIç H, et al. Percutaneous closure of a ruptured right coronary sinus of Valsalva aneurysm. Turk Kardiyol Dern Ars 2012; 40: 447–450.