El Nihum LI, Li Z, Ramchandani M, Reardon MJ, Suarez EE, MacGillivray TE, Duarte V, Lin CH. Ventricular Fibrillation Arrest and Pulmonary Homograft Rupture During Transcatheter Pulmonary Valve: Successful Rescue by Heart Team.
Methodist Debakey Cardiovasc J 2021;
17:152-156. [PMID:
34326935 PMCID:
PMC8298125 DOI:
10.14797/cavr7956]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/23/2021] [Indexed: 11/13/2022] Open
Abstract
We describe a 31-year-old woman with pulmonary homograft rupture and ventricular
fibrillation arrest complicating a transcatheter pulmonary valve (TPV)
procedure. She underwent extracorporeal membrane oxygenation (ECMO) with
immediate surgical repair including bioprosthetic pulmonary valve replacement.
She had difficulty weaning off ECMO due to hyperacute failure of the valve and
ultimately underwent successful hybrid TPV with complete recovery. This case
illustrates the importance of the heart team approach during catheter and
surgical interventions in adult congenital heart disease.
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