title: Consecutive percutaneous valve-in-valve replacement late after Ross procedure: A novel approach in an adult with congenital heart disease.
abstract: The emergence of transcatheter valve technology over the last decade has made significant impact on the treatment of patients with valvular heart disease. There has been increasing experience with both native and valve-in-valve indications with promising results. We present the case of a young woman with congenital heart disease who underwent the Ross procedure for bicuspid aortic valve endocarditis with subsequent reoperation and surgical aortic valve replacement for neo-aortic root dilation who experienced worsening symptoms related to both pulmonary and aortic valve dysfunction. She was successfully treated with percutaneous pulmonary and aortic valve replacement with excellent early term technical results and marked improvement in symptoms.
authors.affiliation: Department of Medicine, University of Colorado, Denver, Aurora, Colorado.|Division of Cardiology, University of Colorado, Denver, Aurora, Colorado.
authors.forename: Dominik M
authors.initials: DM
authors.lastname: Wiktor
authors.affiliation: Department of Medicine, University of Colorado, Denver, Aurora, Colorado.|Division of Cardiology, University of Colorado, Denver, Aurora, Colorado.
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Kay
authors.affiliation: Department of Medicine, University of Colorado, Denver, Aurora, Colorado.|Division of Cardiology, University of Colorado, Denver, Aurora, Colorado.
authors.forename: Michael S
authors.initials: MS
authors.lastname: Kim
mesh_terms: D000328:Adult; D000792:Angiography / Q000379:methods; D001021:Aortic Valve / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000628:therapy*; D000082882:Bicuspid Aortic Valve Disease; D006328:Cardiac Catheterization / Q000379:methods*; D006348:Cardiac Surgical Procedures / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery; D006349:Heart Valve Diseases / Q000151:congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011665:Pulmonary Valve Insufficiency / Q000000981:diagnostic imaging / Q000628:therapy*; D018570:Risk Assessment; D015607:Stents; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
keywords: percutaneous pulmonary valve replacement; structural heart disease intervention; transcatheter aortic valve replacement