Doubly committed subarterial ventricular septal defect: A risk factor for aortic distortion in patients considered for percutaneous pulmonary valve implantation?

Catheter Cardiovasc Interv. 2016 Aug;88(2):244-7. doi: 10.1002/ccd.26412. Epub 2016 Jan 17.

Abstract

Percutaneous pulmonary valve implantation has gradually become the first line strategy for re-intervention for right ventricular outflow tract dysfunction during long-term follow-up after congenital cardiac surgery in many centers. We describe a case of a patient with double outlet right ventricle (Fallot's type) with a doubly committed subarterial ventricular septal defect, where the unique anatomy precluded percutaneous pulmonary valve implantation. © 2016 Wiley Periodicals, Inc.

Keywords: angiography pulmonary; congenital heart disease; pediatrics; percutaneous intervention; pulmonary valve disease; transcatheter valve implantation.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Abnormalities, Multiple*
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / physiopathology
  • Aortography
  • Balloon Valvuloplasty / adverse effects
  • Cardiac Catheterization* / instrumentation
  • Cardiac Surgical Procedures / adverse effects*
  • Child, Preschool
  • Contraindications
  • Double Outlet Right Ventricle / complications
  • Double Outlet Right Ventricle / diagnostic imaging
  • Double Outlet Right Ventricle / physiopathology
  • Double Outlet Right Ventricle / surgery*
  • Female
  • Heart Septal Defects, Ventricular / complications*
  • Heart Septal Defects, Ventricular / diagnostic imaging
  • Heart Valve Prosthesis Implantation* / instrumentation
  • Hemodynamics
  • Humans
  • Predictive Value of Tests
  • Pulmonary Valve Insufficiency / diagnostic imaging
  • Pulmonary Valve Insufficiency / physiopathology
  • Pulmonary Valve Insufficiency / therapy*
  • Pulmonary Valve* / diagnostic imaging
  • Pulmonary Valve* / physiopathology
  • Risk Factors
  • Ventricular Outflow Obstruction / diagnostic imaging
  • Ventricular Outflow Obstruction / etiology
  • Ventricular Outflow Obstruction / physiopathology
  • Ventricular Outflow Obstruction / therapy*