Minimally invasive transthoracic device closure of an acquired sinus of valsalva-right ventricle fistula in a pediatric patient.

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.

Citation

Lei Gao, Qin Wu, Xinhua Xu, Tianli Zhao, Yifeng Yang. Minimally invasive transthoracic device closure of an acquired sinus of valsalva-right ventricle fistula in a pediatric patient. Iranian journal of pediatrics. 2014 Jun;24(3):327-30

PMID: 25562029

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