PMC9083262_01
Computed tomography angiography image showing ruptured aneurysm of the right sinus of Valsalva (SVA); contrast can be seen passing from aorta to the right atrium; Ao, aorta; RA, right atrium; LV, left ventricle.
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F1
The diagnosis was confirmed with CTA (Figure 1).
Images from cardiac catheterization. (A) Residual shunt following the first percutaneous intervention. The magnified image shows the ADO II device in the right SV; Ao, aorta, RA, right atrium. (B) Aortic root after the second intervention. The image shows two ADO II devices in place with no residual shunt to the right atrium.
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F2
On the 4th day of hospitalization, a cardiac catheterization was performed (Figure 2A) under general anesthesia. Complete closure was not achieved at the first attempt and a residual shunt remained present above the implanted device (Figure 2A). The area of rupture was successfully closed with another 6 x 4 mm ADO II device (Figure 2B) with no complications.