Percutaneous device closure of ruptured sinus of Valsalva aneurysm in an adult male

Forty seven years old man, known diabetic, hypertensive and non smoker presented with gradually progressive shortness of breath NYHA class II for 2 years. He was found to have a grade 56 superficial, loud continuous murmur with harsh sawing character. Transthoracic echocardiography revealed a ruptured aneurysm of the right aortic sinus with continuous flow into the right ventricular outflow tract. Catheterization study revealed an 8 mm defect in the right coronary sinus along with trivial aortic regurgitation. Transcatheter device closure of the ruptured sinus of Valsalva (RSOV) aneurysm was done using a 1210 Lifetech PDA device. The post procedure period was uneventful and he was discharged within 24 hours.