Edwards Sapien XT® pulmonic valve compression after resuscitation and successful redilatation

Abstract

Despite the increasing use of percutaenous valves, little is known about valve performance after external chest compression. We report a case of a compressed pulmonary Edwards Sapien® XT valve after resuscitation. With the patient on ECMO, successful redilatation was performed with unimpaired postprocedural valve function. We aim to increase the awareness for valve distortion after external chest compression with increasing numbers of transcatheter valvulations. We suggest that immediate re-evaluation of the implanted device via biplane fluoroscopy is mandatory after resuscitation in such cases.

Stent compression during resuscitation of a neonate with complex heart disease: fatal outcome

“…1 Fluoroscopical evaluation after thorax compressions has been recommended for patients with previous percutaneous pulmonary valve implantation. 6 Other than in these large stents, compression of a coronary stent can lead to complete obstruction. 3,4 Even if a small amount of blood would have gone through the crushed stent, this would not have been sufficient to fully support the pulmonary circulation in our patient.…”