TY - JOUR T1 - A new transventricular aproach for pulmonary valve implantation in a patient with severe valve disease after tetralogy-of-Fallot repair JF - Heart JO - Heart SP - 1469 LP - 1470 DO - 10.1136/heartjnl-2013-303858 VL - 99 IS - 19 AU - Georg D Duerr AU - Johannes Breuer AU - Wolfgang Schiller Y1 - 2013/10/01 UR - http://heart.bmj.com/content/99/19/1469.abstract N2 - 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 … ER -