Journal Article

Transcatheter pulmonary valve implantation in native pulmonary outflow tract using the Edwards SAPIEN™ transcatheter heart valve

Paolo Guccione, Ornella Milanesi, Ziyad M. Hijazi and Giacomo Pongiglione

in European Journal of Cardio-Thoracic Surgery

Published on behalf of European Association for Cardio-Thoracic Surgery

Volume 41, issue 5, pages 1192-1194
Published in print May 2012 | ISSN: 1010-7940
Published online January 2012 | e-ISSN: 1873-734X | DOI: http://dx.doi.org/10.1093/ejcts/ezr130
Transcatheter pulmonary valve implantation in native pulmonary outflow tract using the Edwards SAPIEN™ transcatheter heart valve

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  • Cardiovascular Medicine
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Percutaneous pulmonary valve implantation (PPVI) is now an accepted alternative option to conventional surgery for patients with dysfunctional conduits between the right ventricle and pulmonary artery. PPVI will reduce the total number of repeat operations in such patients.

However, surgery remains the primary option in postoperative tetralogy of Fallot patients with severe pulmonary regurgitation who underwent transannular patch reconstruction of their right ventricular outflow tract (RVOT). Traditionally, an RVOT patch is considered a relative contraindication to PPVI, however, in selected patients PPVI was successfully performed.

We report the case of a 12-year-old patient after neonatal repair of tetralogy of Fallot and pulmonary atresia, who developed advanced liver disease and severe pulmonary regurgitation. In this patient, the risk for surgical valve replacement was considered too high and he was treated with percutaneous implantation of the Edwards SAPIEN™ transcatheter heart valve.

Keywords: Tetralogy of Fallot; Pulmonary regurgitation; Transcatheter pulmonary valve

Journal Article.  1000 words.  Illustrated.

Subjects: Cardiovascular Medicine ; Cardiothoracic Surgery

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