Dataset Information

Transcatheter pulmonary valve implant in a patient with a previous pulmonary valve-in-valve.

ABSTRACT: Increasing numbers of patients with congenital heart disease now survive well into adulthood. Often, these patients already had surgery to correct their congenital lesions from early life. Patients with tetralogy of Fallot commonly require several pulmonary valve replacements in their lifetime. This report highlights the utility of percutaneous pulmonary valve implant inside the two prior prosthetic valves avoiding a third sternotomy, in a young adult patient who developed severe prosthetic pulmonary valve stenosis.

Learning objective

To understand the potential therapeutic option of transcatheter pulmonary valve implant inside a dilatable stented surgical bioprosthesis with an existing valve-in-valve in situ as part of lifetime management.

SUBMITTER: Kim WC

PROVIDER: S-EPMC9214873 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Transcatheter pulmonary valve implant in a patient with a previous pulmonary valve-in-valve.

Kim Wan Cheol WC Taliotis Demetris D Turner Mark M

Journal of cardiology cases 20220321 1

Increasing numbers of patients with congenital heart disease now survive well into adulthood. Often, these patients already had surgery to correct their congenital lesions from early life. Patients with tetralogy of Fallot commonly require several pulmonary valve replacements in their lifetime. This report highlights the utility of percutaneous pulmonary valve implant inside the two prior prosthetic valves avoiding a third sternotomy, in a young adult patient who developed severe prosthetic pulm ...[more]

PMID: 35923522

Similar Datasets

Project description:BackgroundCardiac surgery for radiation-induced valvular disease is associated with adverse outcomes. Transcatheter aortic valve replacement (TAVR) is increasingly used in patients with a history of chest-directed radiation therapy and aortic stenosis (CRT-AS).ObjectivesWe examined outcomes of TAVR compared with surgical aortic valve replacement (SAVR) for patients with CRT-AS.MethodsWe identified 69 patients with CRT-AS who underwent TAVR from January 2012 to September 2018. Operative mortality, postoperative morbidities, and length of hospitalization were compared with 117 contemporaneous patients with CRT-AS who underwent isolated SAVR. Age-adjusted survival was evaluated by means of Cox proportional hazards modeling.ResultsCompared with SAVR patients, TAVR patients were older (mean age 75 ± 11.5 vs 65 ± 11.5 years), with more comorbidities, such as chronic obstructive pulmonary disease, atrial fibrillation, and peripheral vascular disease (all P < 0.050). Operative mortality was 4.3% for SAVR vs 1.4% for TAVR (P = 0.41). Most SAVR deaths (4 of 5) occurred in the intermediate-/high-risk group (Society for Thoracic Surgeons predicted risk of operative mortality >3%; P = 0.026). The ratio of observed to expected mortality was better for low-risk SAVR patients and all TAVR patients (0.72 [95% confidence interval [CI]: 0.59-0.86] and 0.24 [95% CI: 0.05-0.51], respectively) compared with intermediate-/high-risk SAVR patients (2.52 [95% CI: 0.26-4.13]). SAVR patients had significantly longer median intensive care unit and overall length of stay and higher blood transfusion requirements but similar rates of stroke and pacemaker implantation.ConclusionsTAVR was associated with excellent in-hospital outcomes and better survival compared with intermediate-/high-risk SAVR in patients with CRT-AS. While SAVR still has a role in low-risk patients or those for whom TAVR is unsuitable for technical or anatomical reasons, TAVR is emerging as the standard of care for intermediate-/high-risk CRT-AS patients.

Dataset Information

Transcatheter pulmonary valve implant in a patient with a previous pulmonary valve-in-valve.

Learning objective

Publications

Transcatheter pulmonary valve implant in a patient with a previous pulmonary valve-in-valve.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets