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  • Title: A tear of the right ventricular outflow tract during pulmonary valvuloplasty treated by transcatheter Sapien valve implantation.
    Author: Kefer J, Gewillig M, Sluysmans T.
    Journal: Congenit Heart Dis; 2013; 8(4):E111-4. PubMed ID: 22762843.
    Abstract:
    A 74-year-old woman was treated by balloon pulmonary valvuloplasty for a symptomatic restenosis 30 years after surgical commissurotomy. The valve dilatation was complicated by a rupture of the right ventricular outflow tract, treated in emergency by a covered stent implantation. The hemodynamic situation was improved, but the free pulmonary regurgitation was leading to a symptomatic right ventricular enlargement. Because surgery was not a good option in this patient at high risk, restoration of pulmonary valve competence was performed by a transcatheter Sapien valve implantation. Transcatheter approach allowed to treat the severe complication of pulmonary valvuloplasty without risk associated with an emergent and redo surgery in a high-risk patient.
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