title: Anchor balloon, buddy wire, and wire and sheath techniques to deploy percutaneous pulmonary valves in tetralogy of fallot patients.
abstract: Advances in surgical techniques in tetralogy of Fallot (TOF) patients have improved survival of these patients into adulthood. The procedure requires right ventricular outflow tract or trans-annular patch with resultant pulmonary stenosis and/or regurgitation. As such, adult patients seen with this condition may have increasing right ventricular hypertrophy and/or right ventricular dilation. Recently, the Sapien XT valve (Edwards Lifesciences, CA) was approved by the FDA for pulmonary implantation. In some cases, advancing the valve in right ventricular outflow tract is difficult. This is a case series of delivering Sapien XT valves in TOF patients with severe pulmonary regurgitation and/or stenosis, using the anchor balloon, buddy wire, and the novel, wire and sheath techniques. © 2017 Wiley Periodicals, Inc.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Medical College of Georgia at Augusta University, Augusta, Georgia.
authors.forename: Ruchit R
authors.identifier: 0000-0002-8571-4920
authors.initials: RR
authors.lastname: Shah
authors.affiliation: Harrington Heart and Vascular Institute, University Hospitals-Parma Medical Center, Parma, Ohio.
authors.forename: Paul
authors.initials: P
authors.lastname: Poommipanit
authors.affiliation: Division of Pediatric Cardiology, Department of Pediatrics, University of Alabama in Birmingham, Birmingham, Alabama.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Law
authors.affiliation: Division of Congenital and Structural Heart, Department of Pediatrics, Medical College of Georgia at Augusta University, Augusta, Georgia.
authors.forename: Zahid
authors.initials: Z
authors.lastname: Amin
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization / Q000295:instrumentation* / Q000379:methods; D062906:Cardiac Catheters; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods; D006439:Hemodynamics; D006801:Humans; D011664:Pulmonary Valve / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011665:Pulmonary Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D011666:Pulmonary Valve Stenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D020127:Recovery of Function; D013771:Tetralogy of Fallot / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult
keywords: pulmonary valve insufficiency; pulmonary valve replacement; tetralogy of Fallot