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Percutaneous valved stent repair of a failed homograft: implications for the Ross procedure.

ABSTRACT: A case of percutaneous pulmonary valve implantation following a failed homograft in the pulmonary position is reported. A 16-year-old boy developed infective endocarditis of his pulmonary homograft, which was implanted four years earlier during a Ross procedure for congenital aortic stenosis. Following successful medical therapy, the boy was symptomatic due to pulmonary stenosis and regurgitation. A 22 mm Melody valve (Medtronic, USA) was successfully implanted percutaneously. His symptoms resolved and he was discharged home one day after the procedure. Echocardiography at the six-month follow-up demonstrated a normally functioning pulmonary valve. Percutaneous pulmonary valve replacement may make the Ross procedure a more attractive option for patients with aortic stenosis, particularly in the pediatric population.

SUBMITTER: Pretorius V

PROVIDER: S-EPMC2644368 | biostudies-literature | 2008 Aug

REPOSITORIES: biostudies-literature

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Percutaneous valved stent repair of a failed homograft: implications for the Ross procedure.

Pretorius Victor V Jones Alan A Taylor Dylan D Coe Yashu Y Ross David B DB

The Canadian journal of cardiology 20080801 8

A case of percutaneous pulmonary valve implantation following a failed homograft in the pulmonary position is reported. A 16-year-old boy developed infective endocarditis of his pulmonary homograft, which was implanted four years earlier during a Ross procedure for congenital aortic stenosis. Following successful medical therapy, the boy was symptomatic due to pulmonary stenosis and regurgitation. A 22 mm Melody valve (Medtronic, USA) was successfully implanted percutaneously. His symptoms resol ...[more]

PMID: 18685750

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