title: Doubly committed subarterial ventricular septal defect: A risk factor for aortic distortion in patients considered for percutaneous pulmonary valve implantation?
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.
authors.affiliation: Cardiac Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
authors.forename: Salim G M
authors.initials: SG
authors.lastname: Jivanji
authors.affiliation: Cardiac Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
authors.forename: Graham
authors.initials: G
authors.lastname: Derrick
authors.affiliation: Cardiac Unit, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
authors.forename: Sachin
authors.initials: S
authors.lastname: Khambadkone
mesh_terms: D000015:Abnormalities, Multiple; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000503:physiopathology; D001027:Aortography; D063126:Balloon Valvuloplasty / Q000009:adverse effects; D006328:Cardiac Catheterization / Q000295:instrumentation; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002675:Child, Preschool; D000075202:Contraindications; D004310:Double Outlet Right Ventricle / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000000981:diagnostic imaging; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation; D006439:Hemodynamics; D006801:Humans; D011237:Predictive Value of Tests; D011664:Pulmonary Valve / Q000000981:diagnostic imaging / Q000503:physiopathology; D011665:Pulmonary Valve Insufficiency / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D012307:Risk Factors; D014694:Ventricular Outflow Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*
keywords: angiography pulmonary; congenital heart disease; pediatrics; percutaneous intervention; pulmonary valve disease; transcatheter valve implantation