Minimally Invasive Transthoracic Device Closure of an Acquired Sinus of Valsalva-Right Ventricle Fistula in a Pediatric Patient
Iranian Journal of Pediatrics: June 30, 2014, 24 (3); 327-330
May 16, 2014
Article Type: Case Report
October 14, 2013
April 23, 2014
L , Wu
X , Zhao
Y. et al. Minimally Invasive Transthoracic Device Closure of an Acquired Sinus of Valsalva-Right Ventricle Fistula in a Pediatric Patient,
Iran J Pediatr.
Background: Sinus of Valsalva-right ventricle fistula is a recognized but very rare complication after surgical repair of subaortic ventricular septal defect. Surgical repair with cardiopulmonary bypass and percutaneous transcatheter closure guided by x-ray has been the traditional treatment for fistula of sinus of Valsalva.Case Presentation: Recently, we have used a novel approach, that avoids the need for either secondary open surgical repair or radiation exposure; that is, minimally invasive transthoracic device closure guided by transesophageal echocardiography to occlude an acquired sinus of Valsalva-right ventricle fistula in a 4-year-old patient.Conclusion: To our knowledge, there have been no prior cases reported of this technique applied to close an acquired sinus of Valsalva-right ventricle fistula. This report aims to provide a detailed description of the procedure.
Fistula of Sinus of Valsalva; Minimally invasive; Device Closure; Transesophageal Echocardiography
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