Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-10T10:44:55.992Z Has data issue: false hasContentIssue false

Management of balloon rupture during a percutaneous pulmonary valve implantation procedure

Published online by Cambridge University Press:  24 July 2018

Alessia Faccini
Affiliation:
Pediatric and Adult Congenital Heart Centre, IRCCS Policlinico San Donato, San Donato Milanese, Italy
Massimo Chessa*
Affiliation:
Pediatric and Adult Congenital Heart Centre, IRCCS Policlinico San Donato, San Donato Milanese, Italy
Mansour Aljoufan
Affiliation:
Heart Centre King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
*
Author for correspondence: Dr M. Chessa, MD, PhD, FSCAI, FESC, Pediatric and Adult Congenital Heart Centre, IRCCS Policlinico San Donato, Piazza Edmondo Malan, 1, 20097 San Donato Milanese (MI), Italy. Tel: +39 02 52774328; Fax: +39 02 52774439; E-mail: massimo.chessa@grupposandonato.it

Abstract

Percutaneous pulmonary valve implantation is increasingly adopted as an alternative procedure to surgery in dysfunctional homograft, and in patients with “native” or wide right ventricle outflow tract dysfunction. Pre-stenting is mandatory in this category of patients for many reasons, one of which is to create an adequate landing zone for the bioprosthesis. Here we report on a tricky situation that occurred during pre-stenting, and we describe how we successfully overcame it.

Type
Brief Report
Copyright
© Cambridge University Press 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Qureshi, AM, Prieto, LR. Percutaneous pulmonary valve placement. Tex Heart Inst J 2015; 42: 195201.Google Scholar
2. Boshoff, DE, Cools, BL, Heying, R, et al. Off-label use of percutaneous pulmonary valved stents in the right ventricular outflow tract: time to rewrite the label? Catheter Cardiovasc Interv 2013; 81: 987995.Google Scholar
3. Esmaeili, A, Bollmann, S, Khalil, M, et al. Percutaneous pulmonary valve implantation for reconstruction of a patch-repaired right ventricular outflow tract. J Interv Cardiol 2018; 31: 106111.Google Scholar
4. Malekzadeh-Milania, S, Ladouceur, M, Cohen, S, Iserin, L, Boudjemline, Y. Results of transcatheter pulmonary valvulation in native or patched right ventricular outflow tracts. Arch Cardiovasc Dis 2014; 107: 592598.Google Scholar
5. Keelan, ET, Nunez, BD, Berger, PB, Holmes, DR Jr, Garratt, KN. Management of balloon rupture during rigid stent deployment. Cathet Cardiovasc Diagn 1995; 35: 211215.Google Scholar
6. Tsunoda, F, Shirota, K, Inoue, Y, Ishii, H, Sugihara, S, Mimura, A. Pinhole balloon rupture and stuck stent: case report of a new and simple bailout technique for incomplete stent dilatation caused by rupture from a highly calcified lesion. Cardiovasc Interv Ther 2014; 29: 376380.Google Scholar
7. Abu Hazeem, A, Aldoss, O, Fagan, T. A novel method to prevent recurrent balloon rupture during dilation of heavily calcified conduits in preparation for transcatheter pulmonary valve placement. Catheter Cardiovasc Interv 2016; 87: 421425.Google Scholar