Key result
A 29 mm Sapien XT valve was successfully implanted without right ventricular outflow tract pre-stenting in a 10-year-old girl with repaired Tetralogy of Fallot.
Demonstrates the feasibility of implanting a 29 mm Sapien XT valve without pre-stenting the right ventricular outflow tract in a pediatric patient with repaired Tetralogy of Fallot.
Does not support routine adoption; hypothesis-generating for avoiding pre-stenting in select pediatric RVOT cases.
We describe a 29 mm Sapien XT valve implantation in a 10-year-old girl with repaired Tetralogy of Fallot, severe pulmonary regurgitation, and right ventricular dilatation, using the NovaFlex+ delivery system and the expandable introducer eSheath, without pre-stenting of the right ventricular outflow tract.
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Rothman et al. (2015) studied this question. A 29 mm Sapien XT valve was successfully implanted without right ventricular outflow tract pre-stenting in a 10-year-old girl with repaired Tetralogy of Fallot.
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