Initial experience with Edwards SAPIEN valve transcatheter implantation in native RVOT in Latvia

• Published in: Acta medica Lituanica Vol. 27; no. 1; pp. 10 - 16
• Main Authors: Auzina, Luize, Lubaua, Inguna, Ligere, Elina, Lace, Inga, Bergmane, Inta, Matsone-Matsate, Baiba, Silis, Pauls, Smits, Lauris, Sikora, Normunds, Søndergaard, Lars, Ozolins, Valts
• Format: Journal Article
• Language: English
• Published: Lithuanian Academy of Sciences Publishers 01.01.2020; Vilnius University Press
• Subjects: Edwards SAPIEN valve; native RVOT; Tetralogy of Fallot; transcatheter pulmonary valve implantation
• ISSN: 1392-0138; 2029-4174
• DOI: 10.6001/actamedica.v27i1.4261

Transcatheter pulmonary valve implantation has been a well-known method for more than a decade, but there are still many challenging cases when a personalized solution is needed. We report a case of a 15-year-old female patient with tetralogy of Fallot, who underwent a surgical correction during infancy. Because of progressive pulmonary regurgitation, stenosis, and right ventricle dilatation, transcatheter pulmonary valve implantation in the native right ventricle outflow tract (RVOT) using Edwards SAPIEN valve was performed. A “landing zone” was created prior to the intervention of stenting the RVOT and the right pulmonary artery. The transcatheter approach for pulmonary valve replacement in a native RVOT is a reasonable alternative to the surgical approach.