Case report of transcatheter pulmonary valve replacement using an Edwards SAPIEN valve in a high-surgical-risk patient with congenital heart disease.
Extends transcatheter options to select high-risk congenital cases; hypothesis-generating and should not yet change practice.
A 26-year-old woman with membraneous pulmonary atresia and ventricular septal defect (VSD) had undergone valvulotomy of the pulmonary valve and closure of the VSD. She had developed progressive pulmonary valve regurgitation and right ventricular failure unresponsive to conservative treatment. The risk for surgical valve replacement was considered too high because of coexisting restrictive and obstructive pulmonary …
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Bertels et al. (2010) studied this question.
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