Percutaneous pulmonary valve replacement with self-expanding valve for a patient with cone-shaped right ventricular outflow tract: a case report_West China Medical Journal

Authors：

HE Qianbei ¹ , LI Yijian ¹ , ZHAO Zhengang ¹ , LI Qiao ¹ , LI Xiao ² , LI Xiang ¹ ,  FENG Yuan ¹

1. Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

FENG Yuan, Email: fynotebook@hotmail.com

Keywords：

Percutaneous pulmonary valve replacement; cone-shaped right ventricular outflow tract; pulmonary regurgitation

DOI：

10.7507/1002-0179.202310034

Video：

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This article reports a 16-year-old patient with severe pulmonary valve regurgitation after corrective surgery for tetralogy of Fallot. The shape of the right ventricular outflow tract to the main pulmonary artery was cone-shaped, which is extremely challenging. After admission, percutaneous pulmonary valve replacement with self-expanding valve was successfully performed. The patient’s condition remained stable during the 2-year follow-up period after surgery. This case aims to provide a reference for percutaneous pulmonary valve replacement in patients with cone-shaped right ventricular outflow tract.

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2.	Bonhoeffer P, Boudjemline Y, Saliba Z, et al. Percutaneous replacement of pulmonary valve in a right-ventricle to pulmonary-artery prosthetic conduit with valve dysfunction. Lancet, 2000, 356(9239): 1403-1405.
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4.	Ribeiro JM, Teixeira R, Lopes J, et al. Transcatheter versus surgical pulmonary valve replacement: a systemic review and meta-analysis. Ann Thorac Surg, 2020, 110(5): 1751-1761.
5.	Baumgartner H, De Backer J. The ESC clinical practice guidelines for the management of adult congenital heart disease 2020. Eur Heart J, 2020, 41(43): 4153-4154.
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7.	Capelli C, Taylor AM, Migliavacca F, et al. Patient-specific reconstructed anatomies and computer simulations are fundamental for selecting medical device treatment: application to a new percutaneous pulmonary valve. Philos Trans A Math Phys Eng Sci, 2010, 368(1921): 3027-3038.
8.	Zhou D, Pan W, Jilaihawi H, et al. A self-expanding percutaneous valve for patients with pulmonary regurgitation and an enlarged native right ventricular outflow tract: one-year results. EuroIntervention, 2019, 14(13): 1371-1377.

1. Schievano S, Coats L, Migliavacca F, et al. Variations in right ventricular outflow tract morphology following repair of congenital heart disease: implications for percutaneous pulmonary valve implantation. J Cardiovasc Magn Reson, 2007, 9(4): 687-695.
2. Bonhoeffer P, Boudjemline Y, Saliba Z, et al. Percutaneous replacement of pulmonary valve in a right-ventricle to pulmonary-artery prosthetic conduit with valve dysfunction. Lancet, 2000, 356(9239): 1403-1405.
3. Georgiev S, Ewert P, Eicken A, et al. Munich comparative study: prospective long-term outcome of the transcatheter melody valve versus surgical pulmonary bioprosthesis with up to 12 years of follow-up. Circ Cardiovasc Interv, 2020, 13(7): e008963.
4. Ribeiro JM, Teixeira R, Lopes J, et al. Transcatheter versus surgical pulmonary valve replacement: a systemic review and meta-analysis. Ann Thorac Surg, 2020, 110(5): 1751-1761.
5. Baumgartner H, De Backer J. The ESC clinical practice guidelines for the management of adult congenital heart disease 2020. Eur Heart J, 2020, 41(43): 4153-4154.
6. Lurz P, Kister T. Why we need another percutaneous pulmonary valve: if size matters. EuroIntervention, 2019, 14(13): 1347-1349.
7. Capelli C, Taylor AM, Migliavacca F, et al. Patient-specific reconstructed anatomies and computer simulations are fundamental for selecting medical device treatment: application to a new percutaneous pulmonary valve. Philos Trans A Math Phys Eng Sci, 2010, 368(1921): 3027-3038.
8. Zhou D, Pan W, Jilaihawi H, et al. A self-expanding percutaneous valve for patients with pulmonary regurgitation and an enlarged native right ventricular outflow tract: one-year results. EuroIntervention, 2019, 14(13): 1371-1377.

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