Open AccessTranscatheter closure of postsurgical ruptured sinus of valsalva with amplatzer duct Occluder II AS™ device
Author(s) -
Cristina Capogrosso,
Giuseppe Santoro,
Mario Giordano,
Maria Giovanna Russo
Publication year - 2018
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/apc.apc_38_17
Subject(s) - medicine , stenosis , surgery , shunt (medical) , complication , ventricle , ventricular outflow tract , sinus (botany) , heart disease , cardiology , botany , biology , genus
Sinus of Valsalva (SV) rupture is a rare, cardiac complication after surgical repair of complex congenital heart disease. This paper reports a 4-year-old male child with double outlet right ventricle (RV) and pulmonary stenosis with superior-inferior arrangement of the ventricles, who was submitted to surgical repair using the "reparation a l'etage ventriculaire" procedure. A few months after an uneventful surgical repair, his clinical condition abruptly worsened because of the rupture of the right SV into the RV outflow tract resulting in large left-to-right shunt and RV functional impairment. To avoid surgical re-do, this late-onset complication was successfully treated by transcatheter implantation of an Amplatzer Duct Occluder Type II Additional Size™ (ADO-IIAS, St. Jude Medical Inc., St. Paul, Minnesota, USA) device.