case_images: PMC8514821_01
case_images: (A) Transthoracic echocardiogram obtained in the five-chamber view showing that the SOV rupture occurr in the non-coronary sinus and rupture into the right atrium. (B) Transthoracic echocardiogram obtained in the apical long axis view showing a mild-to-moderate aortic regurgitation. (C) Aortography showing significant shunting between NCS and the right atrium. The defect diameter of 3 mm was measured by aortography. AR, aortic regurgitation; AO, aorta; AAO, ascending aorta; RA, right atrium; RV, right ventricle; NCS, non-coronary sinus of Valsalva; SOV rupture, Sinus of Valsalva rupture.
case_images: fped-09-751163-g0001.jpg
case_images: PMC8514821_01_fped-09-751163-g0001.jpg
case_images: F1
case_images: TTE showed that the diameter of the break of the SOA rupture was 3 mm, accompanied by a mild-to-moderate aortic regurgitation during regular follow-ups in the hospital at 3 years after ventricular defect repair (Figures 1A,B). Communication was established between NCS and the right atrium outflow tract of 3.0 mm (Figure 1C).
case_images: (A) Transthoracic echocardiogram obtained in the aortic long-axis view showing that the occluder was well (white arrow). (B) Cine static image front view showing the ventricular septal defect occluder in place. AO, aorta; VSD occluder, ventricular septal defect occluder.
case_images: fped-09-751163-g0002.jpg
case_images: PMC8514821_01_fped-09-751163-g0002.jpg
case_images: F2
case_images: Alloy Ltd., China) was deployed through the long sheath under fluoroscopic guidance. After the release of the VSD occluder, the occluder had good shape and position, and no substantial residual shunting was found in the aortic root angiography (Figure 2). A day later, the patient's parents were advised to give him 100 milligrams of aspirin each day and he was successfully discharged from the hospital.