Transcatheter Closure of Ruptured Sinus of Valsalva Aneurysm: Early Experience from Nepal
Keywords:
Ruptured of sinus of Valsalva aneurysm, Transcatheter closure, Surgical closure of Ruptured of sinus of ValsalvaAbstract
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.
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