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

BACKGROUND: Pulmonary valve replacement in patients with congenital heart diseases and heart failure is challenging. CASE SUMMARY: Here, we describe a case of a patient who had surgical fallot repair with chronic heart failure. Investigations found severe biventricular dysfunction and enlargement du...

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Autores principales: Houeijeh, Ali, Sudre, Arnaud, Juthier, Francis, Godart, François
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10404027/
https://www.ncbi.nlm.nih.gov/pubmed/37547365
http://dx.doi.org/10.1093/ehjcr/ytad322
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author Houeijeh, Ali
Sudre, Arnaud
Juthier, Francis
Godart, François
author_facet Houeijeh, Ali
Sudre, Arnaud
Juthier, Francis
Godart, François
author_sort Houeijeh, Ali
collection PubMed
description BACKGROUND: Pulmonary valve replacement in patients with congenital heart diseases and heart failure is challenging. CASE SUMMARY: 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: 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.
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spelling pubmed-104040272023-08-06 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 Houeijeh, Ali Sudre, Arnaud Juthier, Francis Godart, François Eur Heart J Case Rep Case Report BACKGROUND: Pulmonary valve replacement in patients with congenital heart diseases and heart failure is challenging. CASE SUMMARY: 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: 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. Oxford University Press 2023-08-02 /pmc/articles/PMC10404027/ /pubmed/37547365 http://dx.doi.org/10.1093/ehjcr/ytad322 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Houeijeh, Ali
Sudre, Arnaud
Juthier, Francis
Godart, François
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10404027/
https://www.ncbi.nlm.nih.gov/pubmed/37547365
http://dx.doi.org/10.1093/ehjcr/ytad322
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