Kim Wan Cheol, Taliotis Demetris, Turner Mark
Adult Congenital Heart Disease, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, United Kingdom.
J Cardiol Cases. 2022 Mar 21;26(1):39-41. doi: 10.1016/j.jccase.2022.02.006. eCollection 2022 Jul.
Increasing numbers of patients with congenital heart disease now survive well into adulthood. Often, these patients already had surgery to correct their congenital lesions from early life. Patients with tetralogy of Fallot commonly require several pulmonary valve replacements in their lifetime. This report highlights the utility of percutaneous pulmonary valve implant inside the two prior prosthetic valves avoiding a third sternotomy, in a young adult patient who developed severe prosthetic pulmonary valve stenosis.
To understand the potential therapeutic option of transcatheter pulmonary valve implant inside a dilatable stented surgical bioprosthesis with an existing valve-in-valve in situ as part of lifetime management.
现在越来越多的先天性心脏病患者能够顺利活到成年。这些患者通常早年就已接受手术矫正其先天性病变。法洛四联症患者一生中通常需要多次更换肺动脉瓣。本报告强调了在一名出现严重人工肺动脉瓣狭窄的年轻成年患者中，经皮肺动脉瓣植入术在两个先前的人工瓣膜内进行，从而避免第三次开胸手术的实用性。
了解经导管肺动脉瓣植入术在可扩张带支架外科生物人工瓣膜内且已有原位瓣中瓣的潜在治疗选择，作为终生管理的一部分。
