An observational study of symmetrical VSD occluder for transcatheter closure of ruptured sinus of Valsalva aneurysm

Chen,Wei; Li,Tongbin; Lei,Xiaolin; Liu,Haitao

doi:10.3892/etm.2024.12532

An observational study of symmetrical VSD occluder for transcatheter closure of ruptured sinus of Valsalva aneurysm

Authors:
- Wei Chen
- Tongbin Li
- Xiaolin Lei
- Haitao Liu
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Affiliations: Department of Cardiology, Xijing Hospital, Air Force Medical University, Xi'an, Shaanxi 710032, P.R. China
Published online on: April 4, 2024 https://doi.org/10.3892/etm.2024.12532
Article Number: 244
Copyright: © Chen et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

This study evaluated the immediate and 1‑year postoperative outcomes of 14 patients with ruptured Valsalva aneurysmal sinus (RSVA) using symmetric ventricular septal defect (VSD) occluder for transcatheter closure (TCC). The sites of rupture were from the non‑coronary sinus to the right atrium (RA) in 10 cases (71.4%), the right coronary sinus (RCS) to the RA in 3 cases (21.4%) and the RCS to the right ventricle in 1 case (7.2%). The defects (5‑11 mm) were closed with a symmetrical VSD device. During the follow‑up (12 months), the enlarged heart of the patients had significantly shrunk and the NYHA improved after closure. In 1 case, a moderate residual shunt was present and the patient suffered from hemolysis at 2 h after the operation, and 1 patient was transferred to surgery for aortic regurgitation 1 year after the initial treatment of RSVA. In conclusion, the TCC of RSVA with the China made symmetrical VSD occluder is safe and effective.

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