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- pulmonary valve
- minimally invasive surgical procedures
- heart valve prosthesis implantation
One-third of all patients with tetralogy-of-Fallot (TOF) repair are developing symptomatic pulmonary regurgitation or stenosis.1 Percutaneous pulmonary valve (PV) implantation via the femoral vein is an accepted method reducing numbers of repeat operations.2 We present the case of a 44-year-old man with symptomatic PV regurgitation after TOF repair at the age of 10 years. The right ventricle (RV) was severely dilated. Due to severely impaired RV function, percutaneous approach for valve replacement was chosen. Potential coronary compression was ruled out. As the PV annulus, measuring 26 mm in diameter (figure 1A and B), was too large for currently available …
Contributors GDD: surgeon, involved in the surgical procedure of valve implantation, writing and handling of the manuscript. WS: surgeon, involved in the surgical procedure of valve implantation, planning of the surgical procedure. JB: paediatric cardiologist, involved in the surgical procedure of valve implantation, planning of the surgical procedure.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.