case_images: PMC9083262_01
case_images: 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.
case_images: fped-10-856911-g0001.jpg
case_images: PMC9083262_01_fped-10-856911-g0001.jpg
case_images: F1
case_images: The diagnosis was confirmed with CTA (Figure 1).
case_images: 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.
case_images: fped-10-856911-g0002.jpg
case_images: PMC9083262_01_fped-10-856911-g0002.jpg
case_images: F2
case_images: 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.