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Ruptured sinus of Valsalva aneurysm (RSVA), a rare form of left-to-right shunt, is being increasingly corrected with transcatheter closure (TCC) with promising immediate and mid-term results. Complete heart block (CHB) following TCC of perimembranous ventricular septal defect is a well-described albeit worrisome complication. We describe a hitherto unreported case of development of CHB following TCC of RSVA that responded to high-dose steroids. The patient continues to remain in sinus rhythm without CHB 6 months later.


Shrivallabh M Karlekar, Parag Bhalghat, Prafulla G Kerkar. Complete heart block following transcatheter closure of ruptured sinus of Valsalva aneurysm. The Journal of invasive cardiology. 2012 Dec;24(12):E314-7

PMID: 23220992

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