Division of Cardiology, Aventura Hospital and Medical Center of Miami, FL, USA.
Catheter Cardiovasc Interv. 2011 Feb 1;77(2):276-80. doi: 10.1002/ccd.22653.
Percutaneous pulmonary valve implantation has emerged as an attractive and less invasive alternative to open-heart surgery. Nevertheless, major technical challenges and procedural complications may still occur. We report a 44-year-old woman with severe dextroscoliosis, and history of Tetralogy of Fallot repair, who underwent an attempt at percutaneous implantation of a 23-mm Edwards SAPIEN transcatheter heart valve (THV) for recurrent stenosis of the right ventricle to pulmonary artery conduit. The procedure was complicated by valve migration into the right ventricle requiring emergent surgical removal using inflow-occlusion technique to avoid cardiopulmonary bypass. A hybrid off-pump perventricular approach was then used in the operating room to successfully implant a 26-mm Edwards Sapien THV under fluoroscopic guidance. © 2010 Wiley-Liss, Inc.
经皮球囊肺动脉瓣植入术已成为一种有吸引力的、创伤更小的替代开胸手术的方法。然而，仍可能出现主要的技术挑战和程序并发症。我们报告了一例 44 岁的女性，患有严重的右旋脊柱侧凸，先心病法洛四联症修补术病史，因右心室至肺动脉管道的再狭窄而行经皮球囊肺动脉瓣植入术，尝试植入 23 毫米 Edwards SAPIEN 经导管心脏瓣膜（THV）。该手术过程中瓣膜迁移到右心室，需要采用流入闭塞技术紧急外科取出，以避免体外循环。随后在手术室中采用杂交非体外循环经心尖途径，在荧光透视引导下成功植入 26 毫米 Edwards Sapien THV。© 2010 Wiley-Liss, Inc.
