Related Experiment Video

Updated: Jul 14, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Transcatheter closure of ruptured sinus of Valsalva aneurysm causing Fontan circulation failure

Giuseppe Santoro1, Giuseppe Pacileo, Maurizio Cappelli Bigazzi

  • 1Division of Cardiology, Second University of Naples, Monaldi Hospital, Naples, Italy. santoropino@tin.it

Journal of Cardiovascular Medicine (Hagerstown, Md.)
|May 16, 2007
PubMed

Insights

A rare congenital sinus of Valsalva aneurysm ruptured into an accessory chamber, causing heart failure in a patient with tricuspid atresia. Percutaneous closure provided immediate clinical improvement.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Cardiac Surgery

Background:

  • Congenital sinus of Valsalva aneurysm (SVA) is a rare cardiac malformation.
  • Rupture of SVA typically leads to symptoms and can be misdiagnosed, especially with complex cardiac defects.

Observation:

  • A patient with tricuspid atresia, previously treated with a Fontan procedure, presented with rapidly progressive heart failure.
  • Echocardiography revealed a ruptured sinus of Valsalva aneurysm communicating with an accessory ventricular chamber.

Findings:

  • The rupture of the sinus of Valsalva aneurysm into the accessory ventricular chamber was the cause of the patient's heart failure.
  • Percutaneous implantation of an Amplatzer duct occluder successfully treated the ruptured aneurysm.

Implications:

  • This case highlights the importance of considering SVA rupture in patients with complex congenital heart disease and heart failure.
  • Percutaneous closure offers a minimally invasive treatment option for ruptured SVA, leading to rapid clinical improvement.

More Related Videos

Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence10:52

Closure of a Patent Foramen Ovale (PFO): An Intervention Sequence

Published on: December 23, 2022

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...