Transcatheter closure of ruptured sinus of valsalva aneurysm: Report of two cases

A ruptured sinus of valsalva aneurysm (rsva) is a rare cardiac anomaly. traditionally,rsvas were repaired surgically; however,percutaneous transcatheter closure is the current treatment of choice. we report two cases of rsva which were closed using this approach. the first case was a 45-year-old female who presented to the royal hospital,muscat,oman,in 2014 with a rsva in the right ventricle. the second case was a 39-year-old male who was admitted to the sultan qaboos university hospital,muscat,in 2015 with a large multifenestrated rsva extending into the right ventricle outflow tract. each patient underwent transcutaneous cardiac catheterisation using three-dimensional echocardiography. both interventions were technically successful; however,the second patient required a subsequent surgery due to the continuing presence of a significant shunt. transcatheter closure of rsvas is an effective alternative to surgical repair,although large multifenestrated rsvas should be repaired surgically to ensure complete closure. © 2016,sultan qaboos university. all rights reserved.