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Treatment of severe refractory valvar pulmonary stenosis with primary transcatheter pulmonary valve implantation

Published online by Cambridge University Press:  23 March 2017

Kalyani R. Trivedi
Affiliation:
Department of Pediatrics, Section of Pediatric Cardiology, Mercy Children’s Hospital, Toledo, Ohio, United States of America
Laurence Robinson
Affiliation:
Department of Pediatric Cardiology, Royal Brompton Hospital, London, United Kingdom
Alain Fraisse*
Affiliation:
Department of Pediatric Cardiology, Royal Brompton Hospital, London, United Kingdom
*
Correspondence to: A. Fraisse, MD, PhD, Royal Brompton Hospital, Paediatric Cardiology Service, Sydney Street, SW3 6NP London, UK. Tel: +44 207 351 8731; Fax: +44 207 351 8758; E-mail: a.fraisse@rbht.nhs.uk

Abstract

Some patients with pulmonary valve stenosis do not respond to balloon valvuloplasty and must undergo surgical repair. We report the case of a 12-year-old child with pulmonary valve stenosis and Noonan syndrome in whom we performed transcatheter Melody pulmonary valve implantation after balloon dilation failed. The result was excellent. This technique can be proposed as an alternative to surgery in such cases.

Type
Brief Report
Copyright
© Cambridge University Press 2017 

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References

1. Fraisse, A, Aldebert, P, Malekzadeh-Milani, S, et al. Melody transcatheter pulmonary valve implantation: results from a French registry. Arch Cardiovasc Dis 2014; 107: 607614.CrossRefGoogle ScholarPubMed
2. Meadows, JJ, Moore, PM, Berman, DP, et al. Use and performance of the melody transcatheter pulmonary valve in native and postsurgical, nonconduit right ventricular outflow tracts. Circ Cardiovasc Interv 2014; 7: 374380.CrossRefGoogle ScholarPubMed
3. Rocchini, AP, Kveselis, DA, Crowley, D, Dick, M, Rosenthal, A. Percutaneous balloon valvuloplasty for treatment of congenital pulmonary valvular stenosis in children. J Am Coll Cardiol 1984; 3: 10051012.CrossRefGoogle ScholarPubMed
4. Digilio, MC, Marino, B. Clinical manifestations of Noonan syndrome. Paediatr Cardiol 2001; 3: 1930.Google ScholarPubMed
5. McKenzie, ED, Khan, MS, Dietzman, TW, et al. Surgical pulmonary valve replacement: a benchmark for outcomes comparisons. J Thorac Cardiovasc Surg 2014; 148: 14501453.CrossRefGoogle ScholarPubMed
6. Nielsen, EA, Hjortdal, VE. Surgically treated pulmonary stenosis: over 50 years of follow-up. Cardiol Young 2016; 26: 860866.CrossRefGoogle ScholarPubMed
7. Aggarwal, V, Malik, V, Kapoor, PM, Kiran, U. Noonan syndrome: an anesthesiologist’s perspective. Ann Card Anaesth 2011; 14: 214217.Google ScholarPubMed
8. Malekzadeh-Milani, 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.CrossRefGoogle ScholarPubMed
9. Cools, B, Brown, SC, Heying, R, et al. Percutaneous pulmonary valve implantation for free pulmonary regurgitation following conduit-free surgery of the right ventricular outflow tract. Int J Cardiol 2015; 186: 129135.CrossRefGoogle ScholarPubMed

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