Capogrosso Cristina, Santoro Giuseppe, Giordano Mario, Russo Maria Giovanna
Department of Paediatric Cardiology, AORN "Ospedali dei Colli", 2 University of Naples, Naples, Italy.
Ann Pediatr Cardiol. 2018 Jan-Apr;11(1):86-88. doi: 10.4103/apc.APC_38_17.
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.
瓦氏窦（SV）破裂是复杂先天性心脏病手术修复后一种罕见的心脏并发症。本文报告一名4岁男性儿童，患有右心室双出口（RV）和心室上下排列的肺动脉狭窄，接受了“心室层面修复”手术。在一次顺利的手术修复几个月后，他的临床状况突然恶化，原因是右SV破裂进入RV流出道，导致大量左向右分流和RV功能受损。为避免再次手术，这种迟发性并发症通过经导管植入美国明尼苏达州圣保罗市圣犹达医疗公司生产的Amplatzer II型额外尺寸动脉导管封堵器（ADO-IIAS）成功治疗。
