Early multicenter experience of a new balloon expandable MyVal transcatheter heart valve in dysfunctional stenosed right ventricular outflow tract conduits
| العنوان: | Early multicenter experience of a new balloon expandable MyVal transcatheter heart valve in dysfunctional stenosed right ventricular outflow tract conduits |
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| المؤلفون: | Sengottuvelu Gunasekaran, Edwin Francis, Muthukumaran C. Sivaprakasam, Sreeja Pavithran, Gopalavilasam R. Rohitraj, J Raja Vijendra Reddy, Kothandam Sivakumar, M. Jayranganath |
| المصدر: | Annals of Pediatric Cardiology, Vol 14, Iss 3, Pp 293-301 (2021) Annals of Pediatric Cardiology |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, transcatheter pulmonary valve, medicine.medical_treatment, Balloon, Pediatrics, RJ1-570, pulmonary regurgitation, medicine.artery, medicine, Ventricular outflow tract, Diseases of the circulatory (Cardiovascular) system, Heart valve, Tetralogy of Fallot, business.industry, Ross procedure, medicine.disease, congenital heart disease, Surgery, Stenosis, medicine.anatomical_structure, Ventricle, RC666-701, Pediatrics, Perinatology and Child Health, Pulmonary artery, Medicine, Original Article, Cardiology and Cardiovascular Medicine, business, right ventricular conduit |
| الوصف: | Background : Transcatheter pulmonary valve implantation (TPVI) is a surgical alternative for correcting dysfunctional right ventricular outflow tract conduits in previously operated patients. MyVal transcatheter heart valve (THV) (Meril Life Sciences, India), a new transcatheter valve designed for aortic position has not been used for TPVI. Methods : Patients with stenosed dysfunctional conduits from the right ventricle to pulmonary artery (RV-PA) were prestented after initial computed tomography and balloon interrogation before the implantation of MyVal. Size of MyVal was chosen based on the final diameter of the prestent. Procedural details and post-TPVI follow-up were analyzed. Results : Seven patients aged 17–60 years (median 26 years) had stenosed RV-PA conduits implanted 5–17 years (median 9 years) ago for tetralogy of Fallot in three, following Ross procedure in two, repair of pulmonary stenosis, and following PA debanding in one patient each. Prestenting improved the conduit diameter from 9.3 ± 2.8 mm to 20.8 ± 1.1 mm and relieved the gradient from 87.3 ± 31.7 mmHg (50–137 mmHg) to 12.7 ± 6.4 mmHg (5–20 mmHg). A 23 mm MyVal was implanted in all the seven patients successfully; one patient needed an additional 24.5 mm MyVal valve in valve implantation for residual regurgitation. The mean fluoroscopic time and dose area product were 38.7 ± 25.3 min and 66.917 ± 39.211Gray. cm2, respectively. At a median follow-up duration of 16 months (10–22 months), all patients were asymptomatic receiving dual antiplatelet therapy with no PR and the gradient was 12.5 ± 5.8 mmHg on echocardiography. Although one patient needed an additional valve-in-valve implantation, there were no valve-related adverse events. Conclusions : Early experience of TPVI with MyVal THV in prestented conduits is encouraging with procedural success in all patients and acceptable mid-term outcomes. |
| اللغة: | English |
| تدمد: | 0974-2069 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::199a88a37c6f693b1cf758124c6602ad http://www.annalspc.com/article.asp?issn=0974-2069;year=2021;volume=14;issue=3;spage=293;epage=301;aulast=Sivaprakasam |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....199a88a37c6f693b1cf758124c6602ad |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 09742069 |
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