Transcatheter occlusion of ruptured sinus of Valsalva aneurysm guided by three-dimensional transesophageal echocardiography.

Transcatheter occlusion of ruptured sinus of Valsalva aneurysm (RSVA) is an alternative strategy to traditional conventional surgical repair. Three-dimensional (3D) transesophageal echocardiography (TEE) may provide more accurate measurement of the defect size and position and expedite closure of the defect in this difficult procedure. A 47-year-old woman with RSVA was successfully treated by transcatheter occlusion technique. Two-dimensional (2D) and 3D TEE was performed during the procedure. Under 2D and 3D TEE and fluoroscopic guidance, the Amplatzer duct occluder was deployed successfully and without complications of the aortic valve.