Minimally Invasive Transthoracic Device Closure of an Acquired Sinus of Valsalva-Right Ventricle Fistula in a Pediatric Patient

作者：Gao, Lei; Wu, Qin; Xu, Xinhua; Zhao, Tianli; Yang, Yifeng^*

来源：Iranian Journal of Pediatrics, 2014, 24(3): 327-330.

• Fistula of Sinus of Valsalva
• Minimally invasive
• Device Closure
• Transesophageal Echocardiography

Background: 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.
Case Presentation: 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.
Conclusion: 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.

• 出版日期2014-6
• 单位中南大学