Document Detail


Percutaneous closure of ruptured sinus of Valsalva aneurysms: intermediate term follow-up results.
MedLine Citation:
PMID:  20562071     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: Surgical repair used to be the conventional treatment of ruptured sinus of Valsalva aneurysms (RSOVA). Recently many articles have described the percutaneous closure of these defects. We report the successful percutaneous closure of seven cases of RSOVA.
METHODS AND RESULTS: All the procedures were done under local anaesthesia with fluoroscopic and echocardiographic guidance. The defects were closed with nitinol ductal occluders introduced from the venous side after the establishment of an arteriovenous loop. Of the seven patients (four males, mean age 44.8+/-11 years), six had rupture of the congenital sinus of Valsalva aneurysm, and one had a recurrence following surgical repair. Out of the six patients with aneurysms of the right aortic sinus, four had rupture into the right atrium, one into the right ventricular (RV) inflow and the other into RV outflow. One patient had non-coronary sinus aneurysm rupturing into the right atrium. The size of the distal opening of the aneurysm varied from 2.5 to 12 mm. The left to right shunt flow ratio (Qp/Qs) ranged from 1.5 to 3.6. The size of the nitinol ductal occluders used to close the defects varied from 4 to 16 mm. After a mean follow-up period of 9.3+/-3 months, all patients remained asymptomatic with no residual flow, aortic valvar insufficiency, or evidence of infection.
CONCLUSIONS: RSOVAs can be safely and effectively closed percutaneously using nitinol ductal occluders.
Authors:
Harikrishnan Sivadasanpillai; Ajithkumar Valaparambil; Sivasankaran Sivasubramonian; Kavassery Krishnamoorthy Mahadevan; Bijulal Sasidharan; Narayanan Namboodiri; Titus Thomas; Tharakan Jaganmohan
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology     Volume:  6     ISSN:  1969-6213     ISO Abbreviation:  EuroIntervention     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-21     Completed Date:  2010-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101251040     Medline TA:  EuroIntervention     Country:  France    
Other Details:
Languages:  eng     Pagination:  214-9     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India. drharikrishnan@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aortic Aneurysm / therapy*
Aortic Rupture / therapy*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Septal Occluder Device*
Sinus of Valsalva*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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