title: Transcatheter implantation of SAPIEN 3 valve in native right ventricular outflow tract for severe pulmonary regurgitation following tetralogy of fallot repair.
abstract: Pulmonary valve replacement (PVR) is indicated in patients with significant pulmonary regurgitation (PR), stenosis (PS), or mixed pulmonary valve disease. While once an exclusively surgical procedure, many patients can undergo transcatheter PVR (TPVR) with excellent early outcomes (Haas et al. 2013, Clin. Res. Cardiol. Off. J. German Cardiac Soc. 102:119-128; Kenny et al. 2011, J. Am. Coll. Cardiol. 58:2248-2256; Cheatham et al. Circulation 2015, 131:1960-1970). The available transcatheter options continue to expand, but the majority of cases performed in the United States involve the use of FDA approved Melody valve (Medtronic; Minneapolis, MN) or the SAPIEN (Edwards Lifesciences; Irvine, CA) family of valves. The SAPIEN 3 valve (S3) recently received FDA approval for transcatheter aortic valve replacement. We report the first S3 implantation in the pulmonary position for treatment of chronic pulmonary regurgitation and progressive right ventricular dilation in an 18 year old male with repaired Tetralogy of Fallot. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Department of Pediatrics, Division of Cardiology, Washington University School of Medicine.
authors.forename: Toby
authors.initials: T
authors.lastname: Rockefeller
authors.affiliation: Department of Pediatrics, Division of Cardiology, Washington University School of Medicine.
authors.forename: Shabana
authors.initials: S
authors.lastname: Shahanavaz
authors.affiliation: Cardiovascular Division, Washington University School of Medicine.
authors.forename: Alan
authors.initials: A
authors.lastname: Zajarias
authors.affiliation: Department of Pediatrics, Division of Cardiology, Washington University School of Medicine.
authors.forename: David
authors.initials: D
authors.lastname: Balzer
mesh_terms: D000293:Adolescent; D006328:Cardiac Catheterization / Q000295:instrumentation* / Q000379:methods; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002908:Chronic Disease; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011665:Pulmonary Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D012720:Severity of Illness Index; D013771:Tetralogy of Fallot / Q000601:surgery*; D016896:Treatment Outcome; D014694:Ventricular Outflow Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*
keywords: bioprosthetic; dysfunction; insufficiency; percutaneous; replacement