Annals of Pediatric Cardiology (Jan 2018)

Transcatheter closure of postsurgical ruptured sinus of valsalva with amplatzer duct Occluder II AS™ device

  • Cristina Capogrosso,
  • Giuseppe Santoro,
  • Mario Giordano,
  • Maria Giovanna Russo

DOI
https://doi.org/10.4103/apc.APC_38_17
Journal volume & issue
Vol. 11, no. 1
pp. 86 – 88

Abstract

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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.

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