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Peratrial Device Closure of Ruptured Sinus of Valsalva Aneurysm Into Right Atrium. | LitMetric

An alternative peratrial device closure technique for ruptured sinus of Valsalva aneurysm into the right atrium under exclusive transesophageal echocardiographic guidance is presented. The ruptured site was occluded with a hollow probe-assisted delivery system through a fourth intercostal mini-incision. The peratrial approach provided perfect alignment and positioning for device deployment to avoid device impingement on the aortic valve. This technique may help a certain number of patients, especially those patients with a prior history of radiocontrast media allergy.

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http://dx.doi.org/10.1016/j.athoracsur.2019.02.069DOI Listing

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