Key result
Bioprosthetic valves are the most common replacement options for pulmonary valve replacement in adult congenital heart disease, with transcatheter valve replacement being the preferred approach wherever feasible.
Why the study?
Adult congenital heart disease patients are increasing and pulmonary valve replacements are commonly performed, but the choice of prosthesis is ever-evolving with none proven as the standard of care.
Transcatheter pulmonary valve replacement is the preferred approach for adult congenital heart disease patients when feasible, with bioprosthetic valves being the most common option.
Provides updated guidance on pulmonary valve options in ACHD; leaves open optimal prosthesis selection pending higher-level evidence.
Purpose of the Review Adult congenital heart disease (ACHD) patients are increasing. Valve replacements are one of the most common procedures performed in these subset of patients, especially pulmonary valve replacement. The purpose of the review is to discuss the indications, pre-procedure planning, spectrum of surgical and percutaneous valve replacement options, choice of prosthetic valves and post procedure management in ACHD. Recent Findings The choice of prosthesis for pulmonary valve replacement is an ever-evolving process. Various options exist and none have proven to be the standard of care. We discuss different valve prosthesis and their indications. Summary Pulmonary valve replacements in ACHD patients continue to increase. Bioprosthetic valves are the most common replacement options, however newer valves with novel technologies are on the horizon. Transcatheter valve replacement has proven to be the preferred approach wherever feasible.
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Ashfaq et al. (2024) conducted a review in Adult Congenital Heart Disease. Pulmonary Valve Replacement was evaluated. Bioprosthetic valves are the most common replacement options for pulmonary valve replacement in adult congenital heart disease, with transcatheter valve replacement being the preferred approach wherever feasible.
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