Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
Journal website https://www.cardiologyres.org

Original Article

Volume 8, Number 4, August 2017, pages 154-160

Safety and Feasibility of Transcatheter Interruption of Ruptured Sinus of Valsalva Aneurysm Using the Cocoon Duct Occluder: Immediate Results and Mid-Term Follow-Up

Figures

Figure 1.
Figure 1. TTE view showing SOVA arising from right coronary cusp into right ventricle (a, b); non-coronary cusp rupturing into right atrium on TEE view (c, d).
Figure 2.
Figure 2. Antero-posterior view showing SOVA from NCC rupturing into RA (a). Right anterior oblique view showing SOVA from RCC rupturing into RV (b).
Figure 3.
Figure 3. Fluoroscopic view showing wire being snared from right atrium (a), right ventricular outflow tract (b), arterio-venous loop (c), and delivery sheath seen into ascending aorta (d).
Figure 4.
Figure 4. Aortic root angiogram showing right coronary artery arising above the defect (1); CDO attached to cable with aortic end in right coronary cusp (2).
Figure 5.
Figure 5. Periprocedural TEE to see degree of aortic leak (a); para-device leak (b); peri devise leak (c); and final position post deployment (d).
Figure 6.
Figure 6. CDO attached to cable with aortic end in right coronary cusp (a); aortic root angiogram to confirm any residual leak (b); final position of deployed device (c); and CDO attached to cable positioned across the RSOVA from right coronary cusp opening into right ventricle (d).
Figure 7.
Figure 7. Cocoon duct occluder (a) and retention diameter at aortic and pulmonary end (b).

Table

Table 1. Baseline Characteristics, Procedural and Follow-Up Data of Patients (n = 8)
 
S. no.Age/sexNYHA classDefect locationDefect size (mm)Associated lesionDevice sizeImmediate resultFollow-up (months)Residual shuntNYHA class
F: female; M: male; NYHA: New York Heart Association; RCC: right coronary cusp; RA: right atrium; NCC: non-coronary cusp; RVOT: right ventricular outflow tract; AR: aortic regurgitation; BAV: bicuspid aortic valve; TR: tricuspid regurgitation; IE: infective endocarditis; RVD: right ventricular dysfunction.
124/MIVRCC-RA17Mild AR, BAV20/18Mild shunt13NoneI
221/FIVNCC-RA9None12/10No shunt11NoneI
319/FIIINCC-RA14None18/16No shunt9NoneI
429/MIVRCC-RV10Severe TR, RVD12/10No shunt12NoneI
534/MIIINCC-RA12Healed IE, Mild AR16/14No shunt15NoneI
630/MIIINCC-RA16None20/18Trivial shunt12NoneI
731/FIIINCC-RA14None18/16Trivial shunt22NoneI
842/MIVNCC-RA12Severe TR, RVD16/14No shunt24Mild TRI