scholarly journals REDUCTION OF ADVERSE VENTRICULAR INTERACTION AFTER TRANSCATHETER PULMONARY VALVE REPLACEMENT IN PATIENTS WITH RIGHT VENTRICULAR OUTFLOW TRACT OBSTRUCTION

2014 ◽  
Vol 63 (12) ◽  
pp. A519
Author(s):  
Fatima Lunze ◽  
Babar Hasan ◽  
Kimberlee Gauvreau ◽  
David Brown ◽  
Steven Colan ◽  
...  



2022 ◽  
Vol 23 (2) ◽  
pp. 723
Author(s):  
Zhang Xiling ◽  
Thomas Puehler ◽  
Jette Seiler ◽  
Stanislav N. Gorb ◽  
Janarthanan Sathananthan ◽  
...  

Patients with the complex congenital heart disease (CHD) are usually associated with right ventricular outflow tract dysfunction and typically require multiple surgical interventions during their lives to relieve the right ventricular outflow tract abnormality. Transcatheter pulmonary valve replacement was used as a non-surgical, less invasive alternative treatment for right ventricular outflow tract dysfunction and has been rapidly developing over the past years. Despite the current favorable results of transcatheter pulmonary valve replacement, many patients eligible for pulmonary valve replacement are still not candidates for transcatheter pulmonary valve replacement. Therefore, one of the significant future challenges is to expand transcatheter pulmonary valve replacement to a broader patient population. This review describes the limitations and problems of existing techniques and focuses on decellularized tissue engineering for pulmonary valve stenting.



2012 ◽  
Vol 22 (6) ◽  
pp. 702-707 ◽  
Author(s):  
Cheul Lee ◽  
Jeffrey P. Jacobs ◽  
Chang-Ha Lee ◽  
Jae Gun Kwak ◽  
Paul J. Chai ◽  
...  

AbstractRelief of right ventricular outflow tract obstruction in tetralogy of Fallot or similar physiology often results in pulmonary regurgitation. The resultant chronic volume overload can lead to right ventricular dilatation, biventricular dysfunction, heart failure symptoms, arrhythmias, and sudden death. Although pulmonary valve replacement can lead to improvement in functional class and a substantial decrease or normalisation of right ventricular volumes, the optimal timing of pulmonary valve replacement is not well defined. Benefits of pulmonary valve replacement have to be weighed against the risks of this procedure, including subsequent reoperation. This article will review the benefits and risks of pulmonary valve replacement, options for pulmonary valve substitute, and timing of pulmonary valve replacement in patients with chronic pulmonary regurgitation after relief of right ventricular outflow tract obstruction.





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