看護とケアのジャーナル

Successful percutaneous transcatheter closure of unusually large Ruptured sinus of Valsalva - Two cases

Abstract

Aditya Gupta

Ruptured sinus of Valsalva (RSOV) a rare but well recognized entity commonly presents in young male with signs of heart failure. In this article, we report two patients of large RSOVs, who were treated through a percutaneous route with the duct occluder device (16/14) despite of being unusually large. Earlier such patients were treated surgically but with recent advancement of interventional cardiology more number of the patients can be treated percutaneously but only after suitable case selection, assessment of anatomy using transthoracic, transesophageal echocardiography and catheterization and addressing complications including aortic regurgitation, device embolization and obstruction of flow. Keywords: Ruptured sinus of Valsalva, percutaneous closure, duct occluder device.