PMID- 25030418
OWN - NLM
STAT- MEDLINE
DCOM- 20150512
LR  - 20220311
IS  - 1347-4820 (Electronic)
IS  - 1346-9843 (Linking)
VI  - 78
IP  - 9
DP  - 2014
TI  - Long-term outcomes of transcatheter closure of ruptured sinus valsalva aneurysms 
      using patent ductus arteriosus occluders.
PG  - 2197-202
AB  - BACKGROUND: Transcatheter closure (TCC) of ruptured sinus of Valsalva aneurysm 
      (RSVA) is an alternative strategy to surgery, but there is a lack of long-term 
      outcome data. METHODS AND RESULTS: From 2004 to 2012, 17 patients (8 males, 9 
      females) were treated with patent ductus arteriosus (PDA) occluders by antegrade 
      venous approach and were followed for 18-102 months. Of the 17 patients, 
      transthoracic echocardiography revealed rupture of the right coronary sinus into 
      the right ventricle in 9 and into the right atrium in 4, and noncoronary sinus 
      rupture into the right ventricle in 3 and into the right atrium in 1. Most 
      (10/17) were in New York Heart Association (NYHA) functional class III or IV. 
      Aortography showed that the size of the defect was 7.71+/-2.84 mm (4-15 mm). TCC 
      was attempted using PDA occluders 2-5 mm larger than the aortic end of the 
      defects. The device sizes ranged from 8/6 to 18/16 mm (median, 10/8 mm). The 
      procedure was successful in 16 (94.1%), and all of them had complete occlusion at 
      discharge. On a median follow-up of 42 months, 14 patients were in NYHA class I 
      and 2 were in class II, and there was no residual shunt, device embolization, 
      infective endocarditis, or aortic regurgitation. CONCLUSIONS: TCC of RSVA is a 
      safe and effective alternative to surgery with favorable long-term follow-up 
      results.
FAU - Fang, Zhen-Fei
AU  - Fang ZF
AD  - Department of Cardiology, The Second Xiangya Hospital of Central South 
      University.
FAU - Huang, Yi-Yuan
AU  - Huang YY
FAU - Tang, Liang
AU  - Tang L
FAU - Hu, Xin-Qun
AU  - Hu XQ
FAU - Shen, Xiang-Qian
AU  - Shen XQ
FAU - Tang, Jian-Jun
AU  - Tang JJ
FAU - Zhou, Sheng-Hua
AU  - Zhou SH
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20140716
PL  - Japan
TA  - Circ J
JT  - Circulation journal : official journal of the Japanese Circulation Society
JID - 101137683
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - *Aortic Rupture/etiology/pathology/surgery
MH  - Aortography/methods
MH  - Cardiac Catheterization/*methods
MH  - Child
MH  - *Ductus Arteriosus, Patent/complications/pathology/surgery
MH  - Echocardiography/methods
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Sinus of Valsalva/pathology/surgery
EDAT- 2014/07/18 06:00
MHDA- 2015/05/13 06:00
CRDT- 2014/07/18 06:00
PHST- 2014/07/18 06:00 [entrez]
PHST- 2014/07/18 06:00 [pubmed]
PHST- 2015/05/13 06:00 [medline]
AID - DN/JST.JSTAGE/circj/CJ-14-0106 [pii]
AID - 10.1253/circj.cj-14-0106 [doi]
PST - ppublish
SO  - Circ J. 2014;78(9):2197-202. doi: 10.1253/circj.cj-14-0106. Epub 2014 Jul 16.