PERCUTANEOUS DEVICE CLOSURE OF RUPTURED SINUS OF VALSALVA ANEURYSM IN A PATIENT WITH DOWNS SYNDROME - A CASE REPORT

We report the trans-catheter closure of ruptured sinus of Valsalva aneurysm (RSVA) in a female patient aged 18 years. The patient is a known case of Downs syndrome evaluated previously. The patient presented with Shortness of breath of 3 months duration had a continuous murmur on auscultation and was found to have rupture of sinus of Valsalva aneurysm. The site of rupture was from noncoronary cusp into right atrium.Trans-catheter device closure of RSVA was planned. The RSVA was entered from the aorta, and an arteriovenous loop was created, and the Cocoon PDA ductal occluder was used for the closure of ruptured sinus of Valsalva Aneurysm. Complete closure of the RSVA was confirmed. No complications were observed during 6 months of followup. Percutaneous closure of a ruptured sinus of Valsalva aneurysm is feasible and can be used as an alternative to surgery in optimally selected patients