Key result
Transcatheter pulmonary valve implantation with a custom-made 35 mm balloon-expandable Myval valve was successfully performed in a 30-year-old patient with repaired tetralogy of Fallot.
Why the study?
The feasibility of TPVI is limited by the high cost and nonavailability of larger-sized valves for dilated native RVOT in patients with repaired tetralogy of Fallot.
Is transcatheter pulmonary valve implantation with a custom-made 35 mm balloon-expandable valve feasible in a patient with repaired tetralogy of Fallot and dilated native RVOT?
Case Report (n=1)
Is transcatheter pulmonary valve implantation with a custom-made 35 mm balloon-expandable valve feasible in a patient with repaired tetralogy of Fallot and dilated native RVOT?
A custom-made 35 mm balloon-expandable valve can be successfully used for transcatheter pulmonary valve implantation in patients with repaired tetralogy of Fallot and dilated native RVOT, overcoming the limitation of nonavailability of larger-sized valves.
May expand TPVI options for dilated native RVOT in rTOF; hypothesis-generating and requires prospective validation.
Transcatheter pulmonary valve implantation (TPVI) is the standard of care in patients with repaired tetralogy of Fallot (rTOF) presenting with right ventricular outflow tract (RVOT) dysfunction. However, the feasibility of TPVI is limited by the high cost and nonavailability of larger-sized valves for dilated native RVOT of rTOF patients. We report the first successful TPVI with a custom-made 35 mm balloon-expandable valve (Myval™) in a 30-year-old rTOF patient with severe pulmonary regurgitation and RV dysfunction.
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Ramakrishnan et al. (2024) conducted a case report in Repaired tetralogy of Fallot (rTOF) with severe pulmonary regurgitation and RV dysfunction (n=1). Transcatheter pulmonary valve implantation (TPVI) with a custom-made 35 mm balloon-expandable valve (Myval™) was evaluated on Successful TPVI. Transcatheter pulmonary valve implantation with a custom-made 35 mm balloon-expandable Myval valve was successfully performed in a 30-year-old patient with repaired tetralogy of Fallot.
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