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Simplified approach to Venus-P pulmonary valve implantation in a patient with complex cardiac anatomy: a simple solution for a difficult anatomy

Published online by Cambridge University Press:  13 May 2025

Alessia Callegari Open the ORCID record for Alessia Callegari [Opens in a new window] ,
Damien Bonnet  and
Sophie Malekzadeh-Milani
Alessia Callegari*
Affiliation:
Centre de Référence Malformations Cardiaques Congénitales Complexes—M3C, Hôpital Universitaire Necker-Enfants malades, Assistance Publique—Hôpitaux de Paris, Paris, France
Damien Bonnet
Affiliation:
Centre de Référence Malformations Cardiaques Congénitales Complexes—M3C, Hôpital Universitaire Necker-Enfants malades, Assistance Publique—Hôpitaux de Paris, Paris, France Université de Paris Cité, Paris, France
Sophie Malekzadeh-Milani
Affiliation:
Centre de Référence Malformations Cardiaques Congénitales Complexes—M3C, Hôpital Universitaire Necker-Enfants malades, Assistance Publique—Hôpitaux de Paris, Paris, France
*
Corresponding author: Alessia Callegari; Email: alessiacallegari@gmail.com
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Abstract

This report describes a 41-year-old female with left isomerism, interrupted inferior caval vein with azygos continuation, dextrocardia, and repaired tetralogy of Fallot, who underwent percutaneous pulmonary valve implantation using the Venus P-valve system. Due to anatomical constraints, left jugular venous access was utilised. A Venus P-valve (30 by 25 mm) was successfully implanted in the right ventricular outflow tract using a simplified, one-curve trajectory directly on its delivery system without a delivery sheath. Contrast injections during valve implantation were not possible, and the pre-implanted duct occluder was our anatomical landmarks. This case highlights the adaptability of the Venus P-valve and the importance of individualised procedural strategies in addressing anatomical challenges and achieving optimal outcomes.

Keywords

Venus-Pchallenging casejugular access
Type
Brief Report
Information
Cardiology in the Young , First View , pp. 1 - 3
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Copyright
© The Author(s), 2025. Published by Cambridge University Press

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References

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