Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm: Early Experience from Nepal

Authors

  • Manish Shrestha Department of Pediatrics, Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Subash Shah Department of Pediatrics, Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Reeju Manadhar Department of Cardiology, Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Dharmanath Yadav Department of Cardiology, Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Subodh Bir Singh Kansakar Department of Cardiology, Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Sujeeb Rajbhandari Department of Cardiology, Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Shilpa Aryal Department of Pediatrics, Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Dipanker Prajapati Department of Cardiology, Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Chandra Mani Adhikari Department of Cardiology, Shahid Gangalal National Heart Centre, Kathmandu, Nepal https://orcid.org/0000-0001-5811-9977

DOI:

https://doi.org/10.3126/nhj.v23i1.94848

Keywords:

Ruptured of sinus of Valsalva aneurysm, Transcatheter closure, Surgical closure of Ruptured of sinus of Valsalva

Abstract

Background: Ruptured sinus of Valsalva aneurysm (RSOV) is a rare but potentially life-threatening condition traditionally managed with surgery. Transcatheter closure (TCC) has recently emerged as a less invasive alternative.

Case Summary: We report two adult patients; a 27-year-old male and a 48-year-old female, with RSOV arising from the non-coronary sinus and rupturing into the right atrium. Both presented with palpitations and dyspnea. Multimodality imaging confirmed the diagnosis. TCC was successfully performed using a Cera duct occluder in the first case and a Cocoon duct occluder in the second. Post-procedure imaging showed optimal device position, preserved aortic valve function, and no significant residual shunt, with no procedural complications.

Conclusion: Transcatheter closure of RSOV is a safe and effective alternative to surgery in selected patients.

Downloads

Download data is not yet available.
Abstract
2
PDF
1
Cover NHJ

Downloads

Published

2026-05-29

How to Cite

Shrestha, M., Shah, S., Manadhar, R., Yadav, D., Kansakar, S. B. S., Rajbhandari, S., … Adhikari , C. M. (2026). Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm: Early Experience from Nepal. Nepalese Heart Journal, 23(1), 55–57. https://doi.org/10.3126/nhj.v23i1.94848

Issue

Vol. 23 No. 1 (2026)

Section

Case Reports

License

Copyright (c) 2026 Nepalese Heart Journal

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format, so long as attribution is given to the creator. The license allows for commercial use.