Minimally Invasive Transthoracic Device Closure of an Acquired Sinus of  Valsalva-Right Ventricle Fistula in a Pediatric Patient

Lei  Gao; Qin Wu; Xinhua  Xu; Tianli Zhao; Yifeng Yang

IJ Pediatrics

The Scientific Journal of Growth & Development Research Center

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Minimally Invasive Transthoracic Device Closure of an Acquired Sinus of Valsalva-Right Ventricle Fistula in a Pediatric Patient

Author(s):

Lei Gao¹,

Qin Wu²,

Xinhua Xu³,

Tianli Zhao⁴,

Yifeng Yang^5,*

IJ Pediatrics:Vol. 24, issue 3; 327-330

Published online:May 16, 2014

Article type:Case Report

Received:Oct 14, 2013

Accepted:Apr 23, 2014

How to Cite:Lei GaoQin WuXinhua XuTianli ZhaoYifeng YangMinimally Invasive Transthoracic Device Closure of an Acquired Sinus of Valsalva-Right Ventricle Fistula in a Pediatric Patient.Iran J Pediatr.24(3):327-330.

Abstract

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.

Keywords

Fistula of Sinus of Valsalva

Minimally invasive

Device Closure

Transesophageal Echocardiography

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