What question did this study set out to answer?

To describe an emergency hybrid surgical and transcatheter bailout technique for managing transcatheter heart valve migration during percutaneous pulmonary valve implantation.

June 2, 2010Catheterization and Cardiovascular Interventions

Bailout perventricular pulmonary valve implantation following failed percutaneous attempt using the Edwards Sapien transcatheter heart valve

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Population

44-year-old woman with severe dextroscoliosis, history of Tetralogy of Fallot repair, and recurrent stenosis…

Design

Case_report

Authors

RCRoberto J. CubedduSibtech (United States)ZHZiyad M. HijaziPediatric / Congenital Cardiology

Discussion

Member takes

Implication

May offer bailout for migrated percutaneous pulmonary valves; hypothesis-generating and requires prospective validation before practice change.

Key Points

To describe an emergency hybrid surgical and transcatheter bailout technique for managing transcatheter heart valve migration during percutaneous pulmonary valve implantation.
Treated a 44-year-old female with severe dextroscoliosis and prior Tetralogy of Fallot repair who experienced valve migration of a 23-mm Edwards SAPIEN valve into the right ventricle.
Conducted emergency surgical retrieval via an inflow-occlusion technique without cardiopulmonary bypass, followed by off-pump perventricular implantation of a 26-mm transcatheter valve under fluoroscopy.
Percutaneous deployment of an initial 23-mm Edwards SAPIEN valve resulted in procedural failure due to acute migration into the right ventricle.
Rescue off-pump perventricular deployment of a 26-mm Edwards SAPIEN valve successfully restored conduit function without requiring cardiopulmonary bypass.

Structured PICO

Population

44-year-old woman with severe dextroscoliosis, history of Tetralogy of Fallot repair, and recurrent stenosis of the right ventricle to pulmonary artery conduit (n=1)

Intervention

Bailout perventricular pulmonary valve implantation using a 26-mm Edwards Sapien transcatheter heart valve via a hybrid off-pump approach

Outcome

Successful valve implantation

A hybrid off-pump perventricular approach can serve as an effective bailout strategy for failed percutaneous pulmonary valve implantation complicated by valve migration.

Cite This Study

Cubeddu et al. (2010) studied this question.

synapsesocial.com/papers/6a7159b3ce524a4339c4e847 https://doi.org/10.1002/ccd.22653

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Implication

May offer bailout for migrated percutaneous pulmonary valves; hypothesis-generating and requires prospective validation before practice change.

Bailout perventricular pulmonary valve implantation following failed percutaneous attempt using the Edwards Sapien transcatheter heart valve

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Bailout perventricular pulmonary valve implantation following failed percutaneous attempt using the Edwards Sapien transcatheter heart valve

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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