Cristina Capogrosso, Giuseppe Santoro, Mario Giordano, Maria Giovanna Russo
Department of Paediatric Cardiology, AORN “Ospedali dei Colli”, 2ndUniversity of Naples, Naples, Italy
Sinus of Valsalva (SV) rupture is a rare, cardiac complication after surgical repair of complex congenital heart disease. This paper reports a 4-year-old male child with double outlet right ventricle (RV) and pulmonary stenosis with superior-inferior arrangement of the ventricles, who was submitted to surgical repair using the “reparation a l'etage ventriculaire” procedure. A few months after an uneventful surgical repair, his clinical condition abruptly worsened because of the rupture of the right SV into the RV outflow tract resulting in large left-to-right shunt and RV functional impairment. To avoid surgical re-do, this late-onset complication was successfully treated by transcatheter implantation of an Amplatzer Duct Occluder Type II Additional Size™ (ADO-IIAS, St. Jude Medical Inc., St. Paul, Minnesota, USA) device.
Dr. Giuseppe Santoro
Department of Paediatric Cardiology, AORN “Ospedali dei Colli”, 2nd University of Naples, Via Camillo Sorgente, 31 84125 Salerno, Naples
Source of Support: None, Conflict of Interest: None
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