Complete heart block following transcatheter closure of ruptured sinus of Valsalva aneurysm

J Invasive Cardiol. 2012 Dec;24(12):E314-7.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm, Ruptured / diagnostic imaging
  • Aneurysm, Ruptured / therapy*
  • Atrioventricular Block / diagnosis
  • Atrioventricular Block / etiology
  • Cardiac Catheterization / adverse effects*
  • Echocardiography, Transesophageal
  • Electrocardiography
  • Heart Block / diagnosis
  • Heart Block / etiology*
  • Humans
  • Male
  • Sinus of Valsalva* / diagnostic imaging
  • Treatment Outcome