title: A tear of the right ventricular outflow tract during pulmonary valvuloplasty treated by transcatheter Sapien valve implantation.
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.
authors: Cliniques Saint-Luc, Division of Cardiology, University Hospital of Louvain, Brussels, Belgium. joelle.kefer@uclouvain.be
authors: Joelle
authors: J
authors: Kefer
authors: Marc
authors: M
authors: Gewillig
authors: Thierry
authors: T
authors: Sluysmans
mesh_terms: D000368:Aged; D063126:Balloon Valvuloplasty / Q000009:adverse effects*; D006328:Cardiac Catheterization / Q000295:instrumentation*; D017023:Coronary Angiography; D005260:Female; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods; D006352:Heart Ventricles / Q000293:injuries; D006801:Humans; D011474:Prosthesis Design; D011665:Pulmonary Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D011666:Pulmonary Valve Stenosis / Q000601:surgery / Q000628:therapy*; D012008:Recurrence; D015607:Stents; D016896:Treatment Outcome