While the Edwards SAPIEN 3 valve can be used for percutaneous pulmonary valve implantation in large native outflow tracts, its short covered portion may risk significant paravalvular leak requiring a second valve.
May support 29-mm ES3 use for PPVI in large native outflow tracts; leaves open paravalvular leak risk requiring second valve.
Percutaneous pulmonary valve implantation is now an acceptable treatment option. The Edwards SAPIEN valve, intended for transcatheter aortic valve implantation, has been used in patients whose landing zone diameter is >22 to 24 mm which is not suitable for Melody valve. We report a patient in whom we successfully placed the latest generation, Edwards SAPIEN 3 (ES3) in the pulmonary position. However, because of the short covered portion of this valve, there was a significant paravalvular leak through the stent struts requiring implantation of a second ES3 valve.
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Suntharos et al. (2016) studied this question.
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