Hybrid Pulmonary Valve Implantation: Injection of a Self-Expanding Tissue Valve Through the Main Pulmonary Artery

Dittrich, Sven; Gloeckler, Martin; Arnold, Raoul; Sarai, Koppany; Siepe, Matthias; Beyersdorf, Friedhelm; Schlensak, Christian

doi:10.1016/j.athoracsur.2007.08.010

Cited by 24 publications

(13 citation statements)

References 4 publications

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“…Our hybrid approach allows the implantation of large valve diameters up to 31 mm even in patients with dilated and non-calcified outflow tracts. The valve can be implanted via the RVOT after partial or full sternotomy, via the pulmonary artery after mini-thoracotomy [7], or via the RV apex [8]. Transventricular implantation of a self-expanding bioprosthesis (Shelhigh W Model NR-4000MIS) for pulmonary valve replacement has been described by Berdat and Carrel [5] and Schreiber et al [6].…”

Section: Discussionmentioning

confidence: 98%

“…The valve can be implanted via three different routes: (1) the right ventricular outflow tract [5,6], (2) pulmonary artery trunk (PT) [7] and (3) right ventricular apex [8]. The valve's implantation technique via the RVOT and PT were previously published [5][6][7] and described in detail.…”

Section: Implantation Techniquementioning

confidence: 99%

“…The valve's implantation technique via the RVOT and PT were previously published [5][6][7] and described in detail. Both access routes allow implantation without CPB use.…”

Section: Implantation Techniquementioning

confidence: 99%

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Implantation of a catheter-based self-expanding pulmonary valve in congenital heart surgery: results of a pilot study☆

Wattenwyl

Arnold

Siepe

et al. 2011

European Journal of Cardio-Thoracic Surgery

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Section: Discussionmentioning

confidence: 98%

Section: Implantation Techniquementioning

confidence: 99%

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Implantation of a catheter-based self-expanding pulmonary valve in congenital heart surgery: results of a pilot study☆

Wattenwyl

Arnold

Siepe

et al. 2011

European Journal of Cardio-Thoracic Surgery

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“…Dittrich et al published a report on an 8-year-old boy in whom transverse mini-thoracotomy through the third intercostal space was used to implant an injectable 29 mm stented porcine valve directly into the pulmonary artery bifurcation [32]. The procedure was performed during rapid ventricular pacing and right ventricular unload by a short running femorally implanted cardiopulmonary bypass.…”

Section: 'Think Hybrid' Hybrid Proceduresmentioning

confidence: 99%

The future of transcatheter pulmonary valvulation

Jalal

Thambo

Boudjemline

2014

Archives of Cardiovascular Diseases

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Percutaneous pulmonary valve implantation now has a key role in the setting of dysfunctional right ventricle-to-pulmonary artery conduits or failing bioprosthetic pulmonary valves. However, despite the excellent results obtained with the two devices available currently (the Melody(®) valve [Medtronic Inc., Minneapolis, MN, USA] and the Edwards SAPIEN(®) valve [Edwards Lifesciences, Irvine, CA, USA]), many patients eligible for pulmonary valve replacement remain unsuitable for percutaneous pulmonary valve implantation, mainly because of large native outflow tracts. Accordingly, one of the major challenges for the future is to expand percutaneous pulmonary valve implantation to a broader population of patients. Moving forward, there is important ongoing research that is intended to improve patient outcomes, expand percutaneous pulmonary valve implantation therapy and continue to reduce the number of open-heart surgeries in this population. In this review, we underline the limitations and issues associated with the devices available currently, and we focus on the development of new strategies (such as hybrid approaches or magnetic resonance-guided procedures), new devices (such as right ventricular outflow tract reducers or the novel Native Outflow Tract valved stent from Medtronic) and new technologies (such as tissue-engineered valves), which may help to take up these challenges and represent the future of transcatheter valve implantation.

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“…Dittrich et al ( 34 ) reported a case of HPVR in a patient with enlarged RVOT after ToF repair. The technique employed was similar to ours, with the exception that access to the PA was via the third intercostal space and not a median sternotomy, and the valve was inserted through the pulmonary artery and not the right ventricle.…”

Section: Hybrid Pvrmentioning

confidence: 99%

Recent Development in Pulmonary Valve Replacement after Tetralogy of Fallot Repair: The Emergence of Hybrid Approaches

et al. 2015

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An increasing number of patients with tetralogy of Fallot require repeat surgical intervention for pulmonary valve replacement secondary to pulmonary regurgitation. Catheter-based interventions have emerged as an attractive alternative to surgery in this patient population but it is limited by patient size or the anatomy of the right ventricular outflow tract. Hybrid approaches involving both cardiac interventionists and surgeons are being developed to overcome these limitations. The purpose of this review is to highlight the recent advances in the hybrid field of pulmonary valve replacement, summarizing the advantages and disadvantages of the “traditional” surgical and the new catheter-based techniques and discuss the direction future research should take to determine the optimal management for individual patients.

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Hybrid Pulmonary Valve Implantation: Injection of a Self-Expanding Tissue Valve Through the Main Pulmonary Artery

Cited by 24 publications

References 4 publications

Implantation of a catheter-based self-expanding pulmonary valve in congenital heart surgery: results of a pilot study☆

Implantation of a catheter-based self-expanding pulmonary valve in congenital heart surgery: results of a pilot study☆

The future of transcatheter pulmonary valvulation

Recent Development in Pulmonary Valve Replacement after Tetralogy of Fallot Repair: The Emergence of Hybrid Approaches

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