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PERCUTANEOUS DEVICE CLOSURE OF RUPTURED SINUS OF VALSALVA ANEURYSM IN A PATIENT WITH DOWNS SYNDROME - A CASE REPORT

JEGADEESH J JAYARAMAN

Abstract


We report the trans-catheter closure of
ruptured sinus of Valsalva aneurysm
(RSVA) in a female patient aged 18
years. The patient is a known case of
Downs syndrome evaluated previously.
The patient presented with Shortness of
breath of 3 months duration had a continuous
murmur on auscultation and was
found to have rupture of sinus of Valsalva
aneurysm. The site of rupture was
from noncoronary cusp into right
atrium.Trans-catheter device closure of
RSVA was planned. The RSVA was entered
from the aorta, and an arteriovenous
loop was created, and the Cocoon
PDA ductal occluder was used for
the closure of ruptured sinus of Valsalva
Aneurysm. Complete closure of the
RSVA was confirmed. No complications
were observed during 6 months of followup.
Percutaneous closure of a ruptured
sinus of Valsalva aneurysm is feasible
and can be used as an alternative to surgery
in optimally selected patients.


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