title: Percutaneous Pulmonary Valve Implantation in the Patched Right Ventricular Outflow Tract 51 Years after Surgical Repair for Tetralogy of Fallot.
abstract: Percutaneous pulmonary valve implantation (PPVI) has become a widely practiced treatment option for patients with right ventricular outflow tract (RVOT) dysfunction. For this procedure, the Melody transcatheter pulmonary valve has become the most widely used system. On-label indications are limited to the treatment of failing circumferential conduits. However, there is growing but still limited experience with the off-label treatment of native or patched RVOTs. Here, the case is reported of a 57-year-old patient in whom redo-surgery for a dysfunctional pulmonary valve could be avoided by PPVI into the patched RVOT at 51 years after tetralogy of Fallot repair.
authors.affiliation: Department of Cardiology and Angiology I, Heart Center Freiburg University, Freiburg, Germany.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Grundmann
authors.affiliation: Department of Congenital Heart Defects and Pediatric Cardiology.
authors.forename: René
authors.initials: R
authors.lastname: Hoehn
authors.affiliation: Department of Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany.
authors.forename: Johannes
authors.initials: J
authors.lastname: Kroll
authors.affiliation: Department of Congenital Heart Defects and Pediatric Cardiology, . Electronic correspondence: jochen.grohmann@universitaets-herzzentrum.de.
authors.forename: Jochen
authors.initials: J
authors.lastname: Grohmann
mesh_terms: D000367:Age Factors; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011664:Pulmonary Valve / Q000601:surgery*; D011666:Pulmonary Valve Stenosis / Q000601:surgery*; D013771:Tetralogy of Fallot / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D014694:Ventricular Outflow Obstruction / Q000601:surgery*