High Variability of Right Ventricular Volumes and Function in Adults with Severe Pulmonary Regurgitation Late After Tetralogy of Fallot Repair

Greutmann, Matthias; Ruperti, Javier; Schwitz, Fabienne; Haag, Nora; Lopes, Bruno Santos; Meier, Lukas; Babic, Daniela; Buechel, Emanuela Valsangiacomo; Kellenberger, Christian J.; Bonassin, Francesca; Jost, Christine Attenhofer; Schwerzmann, Markus; Wustmann, Kerstin; Tobler, Daniel

doi:10.1016/j.amjcard.2021.11.022

Cited by 4 publications

(1 citation statement)

References 28 publications

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“…Pulmonary regurgitation is a common late consequence of surgical repair of tetralogy of Fallot (TOF) ( 1 , 2 ). European society of cardiology guidelines on the management of adult congenital heart disease recommend transcatheter pulmonary valve implantation (TPVI) in symptomatic patients affected by severe pulmonary regurgitation ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

Case report: Transcatheter pulmonary valve-in-valve implantation in a deteriorated self-expandable valve caused by infective endocarditis

Pan

Wang

et al. 2022

Front. Cardiovasc. Med.

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BackgroundInfective endocarditis is a complication with high mortality in patients with congenital heart disease, particularly for those with bioprosthetic valve.Case summaryWe report a case of a 54-year-old female with a history of tetralogy of Fallot who had been surgically repaired using a transannular patch due to severe pulmonary insufficiency with right heart enlargement and presented with worsening dyspnea. She had received transcatheter pulmonary valve implantation (TPVI) 5 years ago. Unfortunately, bioprosthesis-associated infective endocarditis occurred due to dental caries. Given persistent antibiotic medication, she became clinically stable with prosthesis functional recovery. However, dysfunctional bioprosthesis was still detected 3 years later, which was successfully treated by valve-in-valve TPVI with the help of modified buddy wire technique. At a 12-month follow-up after valve-in-valve TPVI, she was completely recovered with improved symptoms of heart failure.ConclusionThis is the first report of valve-in-valve TPVI of a self-expandable valve in a degenerated self-expandable valve. The case highlights increased surveillance for infective endocarditis of transcatheter pulmonary valve should be emphasized. Subsequent valve-in-valve TPVI is an effective treatment for valve failure in defined conditions improving the hemodynamics.

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Section: Introductionmentioning

confidence: 99%