Transcatheter closure of ruptured sinus of valsalva aneurysm and secundum atrial septal defect with limited inferior rim

We report a case of a 33-year-old man with Down syndrome and ruptured sinus of Valsalva aneurysm (SOVA) plus large ostium secundum atrial septal defect (ASD) with attenuated inferior rim. He underwent successful transcatheter closure of both defects at two separate procedures with transesophageal ec...

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Bibliographic Details
Published inEchocardiography (Mount Kisco, N.Y.) Vol. 25; no. 2; pp. 208 - 213
Main Authors Cui, Wei, van Bergen, Andrew H, Patel, Dhaval, Javois, Alex J, Roberson, David A
Format Journal Article
LanguageEnglish
Published United States 01.02.2008
Subjects
Adult
Aneurysm, Ruptured - diagnostic imaging
Aneurysm, Ruptured - etiology
Aneurysm, Ruptured - surgery
Cardiac Catheterization - methods
Down Syndrome - complications
Echocardiography, Transesophageal
Heart Aneurysm - diagnostic imaging
Heart Aneurysm - etiology
Heart Aneurysm - surgery
Heart Septal Defects, Atrial - diagnostic imaging
Heart Septal Defects, Atrial - etiology
Heart Septal Defects, Atrial - surgery
Humans
Male
Rupture, Spontaneous
Sinus of Valsalva - diagnostic imaging
Sinus of Valsalva - pathology
Ultrasonography, Interventional
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Summary:We report a case of a 33-year-old man with Down syndrome and ruptured sinus of Valsalva aneurysm (SOVA) plus large ostium secundum atrial septal defect (ASD) with attenuated inferior rim. He underwent successful transcatheter closure of both defects at two separate procedures with transesophageal echocardiography (TEE) guidance. The combination of these two procedures has not been previously reported. Transgastric echocardiographic views which mimic transthoracic subcostal echocardiographic views provide high quality useful images of the anatomy, hemodynamics, and device placement.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0742-2822
DOI:10.1111/j.1540-8175.2007.00563.x