Transcatheter closure of ruptured sinus of Valsalva aneurysm

Congenital sinus of Valsalva aneurysm is a rare cardiovascular anomaly. Rupture of sinus of Valsalva (RSOV) is a rare occurrence, occurring in 10-20% of cases. Rupture into right atrium is further a rare occurrence. The rupture is usually a catastrophic event presenting as acute onset congestive cardiac failure in an apparently healthy individual in the 2(nd) or 3(rd) decade of life. Surgery used to be the mainstay of treatment of RSOV aneurysm, however, in past few years several reports of transcatheter closure of RSOV have come into light. We report a patient, who underwent device closure with a Duct Occluder device. Device was manipulated and deployed with an angle so as to prevent aortic valve dysfunction. © 2010 Wiley-Liss, Inc.