A Tear of the Right Ventricular Outflow Tract during Pulmonary Valvuloplasty Treated by Transcatheter Sapien Valve Implantation. (4th July 2012)

• Record Type: Journal Article
• Authors: Kefer, Joelle; Gewillig, Marc; Sluysmans, Thierry
• Is Part Of: Congenital heart disease. Volume 8:Number 4(2013)
• Page Start: E111
• Page End: E114
• Publication Date: 2012-07-04
• Subjects: Pulmonary Valvuloplasty -- Complication -- Transcatheter Valve; Congenital heart disease -- Periodicals; 616.1204305
• DOI: 10.1111/j.1747-0803.2012.00691.x
• Languages: English
• ISSNs: 1747-079X

Abstract

Abstract: A 74‐year‐old woman was treated by balloon pulmonary valvuloplasty for a symptomatic restenosis 30 years after surgical commissurotomy. The valve dilatation was complicated by a rupture of the right ventricular outflow tract, treated in emergency by a covered stent implantation. The hemodynamic situation was improved, but the free pulmonary regurgitation was leading to a symptomatic right ventricular enlargement. Because surgery was not a good option in this patient at high risk, restoration of pulmonary valve competence was performed by a transcatheter Sapien valve implantation. Transcatheter approach allowed to treat the severe complication of pulmonary valvuloplasty without risk associated with an emergent and redo surgery in a high‐risk patient.