Intentional bioprosthetic tricuspid valve fracture to facilitate transcatheter valve-in-valve deployment

被引：3

作者：

Karahalios, Brian ^{[1
]}

Breinholt, John P. ^{[2
]}

Little, Stephen H. ^{[3
]}

Huie Lin, C. ^{[3
]}

机构：

[1] Houston Methodist Hosp, Houston, TX 77030 USA

[2] Childrens Mem Hermann Hosp, Houston, TX USA

[3] Houston Methodist Debakey Heart & Vasc Ctr, Houston, TX USA

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2021年 / 97卷 / 02期

关键词：

congenital heart disease; patient prosthesis mismatch; transcatheter valve replacement; REGURGITATION; SURGERY;

D O I：

10.1002/ccd.28837

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

While transcatheter valve-in-valve (ViV) implantation may reduce the number of lifetime surgical reinterventions in some patients with congenital heart disease, in other patients the bioprosthetic valve ring can lead to patient-prosthesis mismatch due to reduction of internal diameter if a transcatheter valve is implanted. A 49-year-old woman with multiple prior cardiac surgeries presented with heart failure due to bioprosthetic tricuspid valve stenosis. Initial predilation valvuloplasty suggested conventional ViV implant would produce patient-prosthesis mismatch, therefore, we intentionally fractured the bioprosthetic valve ring to facilitate optimal hemodynamics with implantation of a 29 mm transcatheter valve.

引用

收藏

页码：361 / 364

页数：4

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