Pulmonary valve replacement in a large and tortuous right ventricle outflow tract with a 32 mm Myval valve under local anaesthesia: challenges and technical considerations: a case report.
Case report
Fallot
Heart failure
Myval
Percutaneous pulmonary valve implantation
Journal
European heart journal. Case reports
ISSN: 2514-2119
Titre abrégé: Eur Heart J Case Rep
Pays: England
ID NLM: 101730741
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
received:
24
11
2022
revised:
01
02
2023
accepted:
11
07
2023
medline:
7
8
2023
pubmed:
7
8
2023
entrez:
7
8
2023
Statut:
epublish
Résumé
Pulmonary valve replacement in patients with congenital heart diseases and heart failure is challenging. Here, we describe a case of a patient who had surgical fallot repair with chronic heart failure. Investigations found severe biventricular dysfunction and enlargement due to chronic pulmonary regurgitation. The right ventricle outflow tract was tortuous and large with a diameter of 35 mm. Percutaneous pulmonary valve implantation (PPVI) was done after a challenging pre-stenting. A 32 mm Myval valve over-sized to 35 mm was used for PPVI, which yielded a good result. A 32 mm Myval valve is effective at extending the possibilities of PPVI in a large and tortuous right ventricle outflow tract not accessible for the other valves.
Sections du résumé
Background
UNASSIGNED
Pulmonary valve replacement in patients with congenital heart diseases and heart failure is challenging.
Case summary
UNASSIGNED
Here, we describe a case of a patient who had surgical fallot repair with chronic heart failure. Investigations found severe biventricular dysfunction and enlargement due to chronic pulmonary regurgitation. The right ventricle outflow tract was tortuous and large with a diameter of 35 mm. Percutaneous pulmonary valve implantation (PPVI) was done after a challenging pre-stenting. A 32 mm Myval valve over-sized to 35 mm was used for PPVI, which yielded a good result.
Discussion
UNASSIGNED
A 32 mm Myval valve is effective at extending the possibilities of PPVI in a large and tortuous right ventricle outflow tract not accessible for the other valves.
Identifiants
pubmed: 37547365
doi: 10.1093/ehjcr/ytad322
pii: ytad322
pmc: PMC10404027
doi:
Types de publication
Case Reports
Langues
eng
Pagination
ytad322Informations de copyright
© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.
Déclaration de conflit d'intérêts
Conflict of interest: A.H. is a proctor for Occlutech.
Références
Catheter Cardiovasc Interv. 2020 Nov;96(6):E653-E659
pubmed: 32096924
Int J Cardiol. 2023 Jan 1;370:156-166
pubmed: 36283540
Catheter Cardiovasc Interv. 2022 Jan 1;99(1):E38-E42
pubmed: 34674370
Cardiol Young. 2022 Oct;32(10):1609-1615
pubmed: 34889176
EuroIntervention. 2019 Jan 20;14(13):1363-1370
pubmed: 30248020
J Am Coll Cardiol. 2022 Jan 4;79(1):18-32
pubmed: 34991785
J Cardiovasc Magn Reson. 2021 May 20;23(1):59
pubmed: 34011372
Clin Radiol. 2017 Oct;72(10):900.e9-900.e15
pubmed: 28622796
J Am Coll Cardiol. 2020 Dec 15;76(24):2847-2858
pubmed: 33303074
Catheter Cardiovasc Interv. 2021 Nov 1;98(5):990-999
pubmed: 34227735
Eur Heart J. 2021 Feb 11;42(6):563-645
pubmed: 32860028
Catheter Cardiovasc Interv. 2015 Mar;85(4):604-10
pubmed: 25413082