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Giordano M, Marzullo R, Gaio G, Cappelli Bigazzi M, Ciriello GD, Palladino MT, Sarubbi B, Russo MG. Transcatheter Pulmonary Valve Implantation in Congenital Heart Diseases: Current Advances and Future Prospectives. CHILDREN (BASEL, SWITZERLAND) 2025; 12:547. [PMID: 40426725 PMCID: PMC12109680 DOI: 10.3390/children12050547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2025] [Revised: 04/10/2025] [Accepted: 04/22/2025] [Indexed: 05/29/2025]
Abstract
Pulmonary disfunction is frequent in repaired congenital heart diseases. Both pulmonary regurgitation and pulmonary stenosis are possible complications over time. In the past, the surgical approach was the only feasible management but exposed the patient to a redo-surgery with its consequent risks. Nowadays, the development of novel devices and techniques has made possible a transcatheter pulmonary valve implantation. The Melody Transcatheter Pulmonary Valve (TPV) (Medtronic Inc., Minneapolis, MN, USA) and the Edwards Sapien XT and S3 Transcatheter Heart Valve (Edwards Lifesciences LLC, Irvine, CA, USA) are balloon-expandable valvular bioprostheses approved for pulmonary position. Venus P-Valve (Venus Medtech, Shanghai, China) and Harmony TPV (Medtronic Inc., Minneapolis, MN, USA) are self-expandable pulmonary valves. Alterra Adaptive Prestent (Edwards Lifesciences LLC, Irvine, CA, USA) is an hourglass self-expandable stent that reduces the size of large right ventricular outflow tracts, creating a suitable landing zone to implant an Edwards Sapien S3 THV 29 mm. Novel stents and percutaneous valves are being planned and experimented with to widen the field of transcatheter approach. The aim of this review is to describe both the current approaches, strategies, and techniques as well as the future perspective to deal with the patients with significant pulmonary stenosis and/or regurgitation.
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Affiliation(s)
- Mario Giordano
- Pediatric Cardiology Unit, AORN “Ospedali dei Colli”, Monaldi Hospital, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (R.M.); (G.G.); (M.C.B.); (M.T.P.); (M.G.R.)
| | - Raffaella Marzullo
- Pediatric Cardiology Unit, AORN “Ospedali dei Colli”, Monaldi Hospital, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (R.M.); (G.G.); (M.C.B.); (M.T.P.); (M.G.R.)
| | - Gianpiero Gaio
- Pediatric Cardiology Unit, AORN “Ospedali dei Colli”, Monaldi Hospital, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (R.M.); (G.G.); (M.C.B.); (M.T.P.); (M.G.R.)
| | - Maurizio Cappelli Bigazzi
- Pediatric Cardiology Unit, AORN “Ospedali dei Colli”, Monaldi Hospital, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (R.M.); (G.G.); (M.C.B.); (M.T.P.); (M.G.R.)
| | - Giovanni Domenico Ciriello
- Adult Congenital Heart Disease Unit, AORN “Ospedali dei Colli”, Monaldi Hospital, Via Leonardo Bianchi n.1, 80131 Naples, Italy; (G.D.C.); (B.S.)
| | - Maria Teresa Palladino
- Pediatric Cardiology Unit, AORN “Ospedali dei Colli”, Monaldi Hospital, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (R.M.); (G.G.); (M.C.B.); (M.T.P.); (M.G.R.)
| | - Berardo Sarubbi
- Adult Congenital Heart Disease Unit, AORN “Ospedali dei Colli”, Monaldi Hospital, Via Leonardo Bianchi n.1, 80131 Naples, Italy; (G.D.C.); (B.S.)
| | - Maria Giovanna Russo
- Pediatric Cardiology Unit, AORN “Ospedali dei Colli”, Monaldi Hospital, University of Campania “Luigi Vanvitelli”, 80131 Naples, Italy; (R.M.); (G.G.); (M.C.B.); (M.T.P.); (M.G.R.)
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