Transcatheter aortic valve-in-valve implantation in right ventricle-aorta conduit in an adult patient with Fontan circulation

被引：0
作者：
Nederend, Marieke [1 ,2 ]
van der Kley, Frank [1 ,2 ]
V. Regeer, Madelien [1 ,2 ]
Bokenkamp, Regina [1 ,3 ]
de Weger, Arend [4 ]
Jongbloed, Monique R. M. [1 ,2 ,5 ]
Egorova, Anastasia D. [1 ,2 ,6 ]
机构：
[1] Leiden Univ, Med Ctr, Ctr Congenital Heart Dis Amsterdam Leiden, CAHAL, Leiden, Netherlands
[2] Leiden Univ, Med Ctr, Dept Cardiol, Leiden, Netherlands
[3] Leiden Univ, Med Ctr, Dept Pediat, Div Pediat Cardiol, Leiden, Netherlands
[4] Leiden Univ, Med Ctr, Dept Cardiothorac Surg, Leiden, Netherlands
[5] Leiden Univ, Med Ctr, Dept Anat & Embryol, Leiden, Netherlands
[6] Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
来源：
INTERNATIONAL JOURNAL OF CARDIOLOGY CONGENITAL HEART DISEASE | 2023年 / 14卷
关键词：
Fontan circulation; TAVI; Adult congenital heart disease; Valve-in-valve; Single ventricle physiology; Catheter intervention; STENOSIS;
D O I：
10.1016/j.ijcchd.2023.100476
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Catheter interventions can offer patient tailored solutions in high-risk congenital heart disease patients. A 21year-old male with a Fontan circulation in the setting of unbalanced atrioventricular septal defect with a hypoplastic left ventricle and an aortic homograft connecting the right ventricular outflow tract to the ascending aorta, developed failure of the heavily calcified homograft with severe regurgitation and stenosis. He underwent three sequential transcatheter aortic valve-in-valve implantations to address the homograft failure and the subsequent paravalvular regurgitation, with satisfactory result and improved hemodynamics.
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页数：6
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