Transcatheter closure of ruptured sinus of valsalva aneurysm

Abstract EN

A ruptured sinus of Valsalva aneurysm (RSVA) is a rare cardiac anomaly.

Traditionally, RSVAs were repaired surgically; however, percutaneous transcatheter closure is the current treatment of choice.

We report two cases of RSVA which were closed using this approach.

The first case was a 45-year-old female who presented to the Royal Hospital, Muscat, Oman, in 2014 with a RSVA in the right ventricle.

The second case was a 39-year-old male who was admitted to the Sultan Qaboos University Hospital, Muscat, in 2015 with a large multifenestrated RSVA extending into the right ventricle outflow tract.

Each patient underwent transcutaneous cardiac catheterization using three-dimensional echocardiography.

Both interventions were technically successful; however, the second patient required a subsequent surgery due to the continuing presence of a significant shunt.

Transcatheter closure of RSVAs is an effective alternative to surgical repair, although large multifenestrated RSVAs should be repaired surgically to ensure complete closure.