Korean J Thorac Cardiovasc Surg.  2015 Jun;48(3):202-205. 10.5090/kjtcs.2015.48.3.202.

Embolization of the Device to the Left Pulmonary Artery after the Interventional Closure of Ruptured Sinus of Valsalva Aneurysm

Affiliations
  • 1Department of Cardiothoracic Surgery, Christian Medical College and Hospital, India. lalit_himanshi@yahoo.com

Abstract

Formation of an aneurysm in the sinus of Valsalva of the aortic root is usually due to an area of congenital weakness in its wall. This aneurysm may progressively dilate and rupture into any of the cardiac chambers or into the pericardial cavity. Though this is conventionally treated by surgery, interventional therapy using various closure devices is becoming more common. Embolization of these closure devices may occur. We report a case of embolization of such a device into the left pulmonary artery which during surgical retrieval, unmasked the hidden ventricular septal defect (VSD). Therefore one has to be cautious while making a diagnosis of rupture of the sinus of Valsalva of right coronary sinus without VSD.

Keyword

Aneurysm; Device; Pulmonary artery; Rupture

MeSH Terms

Aneurysm*
Coronary Sinus
Diagnosis
Heart Septal Defects, Ventricular
Pulmonary Artery*
Rupture
Sinus of Valsalva*
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