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

authors:

avatar Lei Gao 1 , avatar Qin Wu 2 , avatar Xinhua Xu 3 , avatar Tianli Zhao 4 , avatar Yifeng Yang 5 , *


how to cite: Gao L , Wu Q, Xu X , Zhao T, Yang Y. Minimally Invasive Transthoracic Device Closure of an Acquired Sinus of Valsalva-Right Ventricle Fistula in a Pediatric Patient. Iran J Pediatr. 2014;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.
 

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