This article reports a 16-year-old patient with severe pulmonary valve regurgitation after corrective surgery for tetralogy of Fallot. The shape of the right ventricular outflow tract to the main pulmonary artery was cone-shaped, which is extremely challenging. After admission, percutaneous pulmonary valve replacement with self-expanding valve was successfully performed. The patient’s condition remained stable during the 2-year follow-up period after surgery. This case aims to provide a reference for percutaneous pulmonary valve replacement in patients with cone-shaped right ventricular outflow tract.
Citation：
HE Qianbei, LI Yijian, ZHAO Zhengang, LI Qiao, LI Xiao, LI Xiang, FENG Yuan. Percutaneous pulmonary valve replacement with self-expanding valve for a patient with cone-shaped right ventricular outflow tract: a case report. West China Medical Journal, 2024, 39(9): 1383-1386. doi: 10.7507/1002-0179.202310034
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| 1. |
Schievano S, Coats L, Migliavacca F, et al. Variations in right ventricular outflow tract morphology following repair of congenital heart disease: implications for percutaneous pulmonary valve implantation. J Cardiovasc Magn Reson, 2007, 9(4): 687-695.
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| 2. |
Bonhoeffer P, Boudjemline Y, Saliba Z, et al. Percutaneous replacement of pulmonary valve in a right-ventricle to pulmonary-artery prosthetic conduit with valve dysfunction. Lancet, 2000, 356(9239): 1403-1405.
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| 3. |
Georgiev S, Ewert P, Eicken A, et al. Munich comparative study: prospective long-term outcome of the transcatheter melody valve versus surgical pulmonary bioprosthesis with up to 12 years of follow-up. Circ Cardiovasc Interv, 2020, 13(7): e008963.
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| 4. |
Ribeiro JM, Teixeira R, Lopes J, et al. Transcatheter versus surgical pulmonary valve replacement: a systemic review and meta-analysis. Ann Thorac Surg, 2020, 110(5): 1751-1761.
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| 5. |
Baumgartner H, De Backer J. The ESC clinical practice guidelines for the management of adult congenital heart disease 2020. Eur Heart J, 2020, 41(43): 4153-4154.
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| 6. |
Lurz P, Kister T. Why we need another percutaneous pulmonary valve: if size matters. EuroIntervention, 2019, 14(13): 1347-1349.
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| 7. |
Capelli C, Taylor AM, Migliavacca F, et al. Patient-specific reconstructed anatomies and computer simulations are fundamental for selecting medical device treatment: application to a new percutaneous pulmonary valve. Philos Trans A Math Phys Eng Sci, 2010, 368(1921): 3027-3038.
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| 8. |
Zhou D, Pan W, Jilaihawi H, et al. A self-expanding percutaneous valve for patients with pulmonary regurgitation and an enlarged native right ventricular outflow tract: one-year results. EuroIntervention, 2019, 14(13): 1371-1377.
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- 1. Schievano S, Coats L, Migliavacca F, et al. Variations in right ventricular outflow tract morphology following repair of congenital heart disease: implications for percutaneous pulmonary valve implantation. J Cardiovasc Magn Reson, 2007, 9(4): 687-695.
- 2. Bonhoeffer P, Boudjemline Y, Saliba Z, et al. Percutaneous replacement of pulmonary valve in a right-ventricle to pulmonary-artery prosthetic conduit with valve dysfunction. Lancet, 2000, 356(9239): 1403-1405.
- 3. Georgiev S, Ewert P, Eicken A, et al. Munich comparative study: prospective long-term outcome of the transcatheter melody valve versus surgical pulmonary bioprosthesis with up to 12 years of follow-up. Circ Cardiovasc Interv, 2020, 13(7): e008963.
- 4. Ribeiro JM, Teixeira R, Lopes J, et al. Transcatheter versus surgical pulmonary valve replacement: a systemic review and meta-analysis. Ann Thorac Surg, 2020, 110(5): 1751-1761.
- 5. Baumgartner H, De Backer J. The ESC clinical practice guidelines for the management of adult congenital heart disease 2020. Eur Heart J, 2020, 41(43): 4153-4154.
- 6. Lurz P, Kister T. Why we need another percutaneous pulmonary valve: if size matters. EuroIntervention, 2019, 14(13): 1347-1349.
- 7. Capelli C, Taylor AM, Migliavacca F, et al. Patient-specific reconstructed anatomies and computer simulations are fundamental for selecting medical device treatment: application to a new percutaneous pulmonary valve. Philos Trans A Math Phys Eng Sci, 2010, 368(1921): 3027-3038.
- 8. Zhou D, Pan W, Jilaihawi H, et al. A self-expanding percutaneous valve for patients with pulmonary regurgitation and an enlarged native right ventricular outflow tract: one-year results. EuroIntervention, 2019, 14(13): 1371-1377.
