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Case Reports
. 2010 Jul;3(2):178-80.
doi: 10.4103/0974-2069.74052.

Transcatheter closure of ruptured right-coronary aortic sinus fistula to right ventricle

Asaad Khoury  1 , Ihab Khatib, Majdi Halabi, Avraham Lorber
Affiliations
Case Reports

Transcatheter closure of ruptured right-coronary aortic sinus fistula to right ventricle

Asaad Khoury et al. Ann Pediatr Cardiol. 2010 Jul.

Abstract

A 22-year-old man was referred for evaluation of exertional fatigue. On examination, there were no overt signs of congestive heart failure. Transthoracic and transesophageal echocardiography revealed rupture of the right coronary aortic sinus of Valsalva into the right ventricle. It was successfully closed with a 12 × 10 Amplatzer duct occluder.

Keywords: Fistula; transcatheter; valsalva sinus.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
(a) TEE with color Doppler showing fistula opeining into the right ventricle (RV); (b) Full deployment of the 12 × 10 mm Amplatzer Duct Occluder (ADO) in the fistula after release; (c) TEE of the ADO in situ occluding the shunt (IVS, intraventricular septum; AoR, aortic root; F, fistula; aAo, ascending aorta; P, probe of TEE)
Figure 2
Figure 2
TEE view of right-coronary (RC) sinus fistula (F) into right ventricle (RV); left coronary (LC) and non-coronary (NC) cusps
Figure 3
Figure 3
TEE view of ADO in situ; left coronary (LC), right coronary (RC) and non-coronary (NC) cusps
See this image and copyright information in PMC

References

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