Surgical Rescue After Failed Percutaneous Closure of an Aorto-Atrial Tunnel. Issue 4 (July 2020)

• Record Type: Journal Article
• Authors: Caldaroni, Federica; Lo Rito, Mauro; Saracino, Antonio; Varrica, Alessandro; Giugno, Luca; Giamberti, Alessandro; Frigiola, Alessandro
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 11:Issue 4(2020)
• Page Start: NP232
• Page End: NP234
• Publication Date: 2020-07
• Subjects: fistula -- aneurysm -- tunnel -- sinus of valsalva -- CHD valve repair -- transcatheter/interventional procedure; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135118802802
• Languages: English
• ISSNs: 2150-1351

Abstract

Congenital sinus of Valsalva aneurysm is a rare disorder, mostly involving the right and noncoronary sinuses, in which intracardiac rupture is more likely foreseen into the right chambers. Because of the unfavorable prognosis, which includes heart failure and sudden death, detection itself is an indication for treatment, which may be performed either surgically or percutaneously. We present a case of a four-year-old patient with aorto-right atrial tunnel, in which a transcatheter attempt of closure was performed, complicated by new onset of aortic valve regurgitation, requiring surgical intervention.