Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
Vol. 24, No. 3, 2014, pp. 327-330
Bioline Code: pe14057
Full paper language: English
Document type: Case Report
Document available free of charge
Iranian Journal of Pediatrics, Vol. 24, No. 3, 2014, pp. 327-330
© Iranian Journal of Pediatrics
Minimally Invasive Transthoracic Device Closure of an Acquired Sinus of Valsalva-Right Ventricle Fistula in a Pediatric Patient|
Gao, Lei; Wu, Qin; Xu, Xinhua; Zhao, Tianli & Yang, Yifeng
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.
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.
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.
Fistula of Sinus of Valsalva; Minimally invasive; Device Closure; Transesophageal Echocardiography
Alternative site location: http://diglib.tums.ac.ir/pub/