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Revista Colombiana de Cardiología
Print version ISSN 0120-5633
Abstract
MALKUN PAZ, Celin et al. Amplatzer device closure of a ruptured sinus of Valsalva aneurysm associated with a transcatheter aortic valve implant. Rev. Colomb. Cardiol. [online]. 2018, vol.25, n.5, pp.342-342. ISSN 0120-5633. https://doi.org/10.1016/j.rccar.2018.01.002.
Objective:
To report the case of an implant for the closure of a Valsalva sinus rupture and implantation of a transcatheter aortic valve.
Material and methods:
An 82 year-old female patient, with a diagnosis of severe aortic valve stenosis associated with a non-coronary rupture of the sinus of Valsalva, at the right atrium, as well as severe pulmonary arterial hypertension. Due to her comorbidities, it was decided to perform a percutaneous closure of the sinus of Valsalva rupture with an Amplatzer device, and a subsequent aortic valve implantation by catheterisation.
Results:
A percutaneous procedure was performed by implanting an 8 mmAmplatzer VSD Occluder device, sealing the non-coronary rupture of the sinus of Valsalva. In a second time, an aortic valve was implanted using transcatheterisation via the right femoral artery. It was checked that it was appropriately implanted using angiography and a transoesophageal echocardiogram. The procedure was considered successful, since both devices could be implanted rapidly, adequately, and with no complications.
Conclusions:
The case is reported of the closure of the sinus of Valsalva rupture with an Amplatzer device and the transcatheterisation implantation of an aortic valve.
Keywords : Percutaneous closure; Sinus of Valsalva; Aortic stenosis; Percutaneous implant of aortic valve.