Aldoss Osamah, Panicucci Thomas, Mohammad Nijres Bassel, Karimi Mohsen
Pediatric Cardiology, Stead Family Children's Hospital, University of Iowa, Iowa City, Iowa.
Pediatric Cardiothoracic Surgery, Stead Family Children's Hospital, University of Iowa, Iowa City, Iowa.
J Soc Cardiovasc Angiogr Interv. 2025 Jan 13;4(2):102518. doi: 10.1016/j.jscai.2024.102518. eCollection 2025 Feb.
A 28-year-old woman presented with heart failure symptoms secondary to severe pulmonary valve regurgitation in the setting of congenital pulmonary valve stenosis that required balloon valvuloplasty. Computed tomography angiography fit analysis demonstrated a severely dilated main pulmonary artery that did not meet the minimum oversizing criteria for placement of a 25-mm Harmony transcatheter pulmonary valve. A hybrid transcatheter pulmonary valve placement approach took place, and a post main pulmonary artery plication right ventricle rotational angiogram was performed. The patient underwent a successful transcatheter pulmonary valve placement. The 3D rotational angiography data set was analyzed, and fit analysis demonstrated an adequate oversizing of the 25-mm transcatheter pulmonary valve.
一名28岁女性因先天性肺动脉瓣狭窄继发严重肺动脉瓣反流出现心力衰竭症状，需要进行球囊瓣膜成形术。计算机断层扫描血管造影拟合分析显示主肺动脉严重扩张，不符合植入25毫米Harmony经导管肺动脉瓣的最小尺寸过大标准。采用了混合经导管肺动脉瓣植入方法，并进行了主肺动脉折叠术后右心室旋转血管造影。患者成功进行了经导管肺动脉瓣植入。对三维旋转血管造影数据集进行分析，拟合分析显示25毫米经导管肺动脉瓣尺寸过大足够。
