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A new transventricular aproach for pulmonary valve implantation in a patient with severe valve disease after tetralogy-of-Fallot repair
  1. Georg D Duerr1,
  2. Johannes Breuer2,
  3. Wolfgang Schiller1
  1. 1Department of Cardiac Surgery, University Clinical Center of Bonn, Bonn, NRW, Germany
  2. 2Department of Pediatric Cardiology, University Clinical Center of Bonn, Bonn, NRW, Germany
  1. Correspondence to Dr Georg Daniel Duerr, Department of Cardiac Surgery, University Clinical Center Bonn, Sigmund-Freud-Str. 25, Bonn, NRW 53105, Germany; Daniel.duerr{at}

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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 …

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