Percutaneous Closure of Ruptured Sinus of Valsalva Aneurysm: Role of Echocardiography

Abstract

Ruptured sinus of Valsalva (RSOV) aneurysm is a rare but well-known entity. It is a form of left-to-right shunt due to the rupture of aortic sinus into cardiac chambers, more commonly right sided. Hemodynamic effects are acute and severe. Surgical repair of RSOV aneurysm is an established treatment option and is being done with excellent results. Over the last two decades, there are case reports and case seriers describing percutaneous closure of RSOV aneurysm with promising results. Before planning percutaneous closure of RSOV aneurysm, it is imperative to know the detailed anatomy of the defect and its hemodynamic effects and to rule out associated defects requiring surgical intervention. Echocardiography plays a crucial role in defining the lesion in detail and helps in decision-making.

Keywords

• device closure
• echocardiography
• ruptured sinus of valsalva