Hybrid trans-apical atrioventricular valve-in-valve implantation in Fontan circulation

Gianfranco Butera; Gianluca Lucchese; Conal Austin; Alessandra Frigiola

doi:10.1002/ccd.28714

Hybrid trans-apical atrioventricular valve-in-valve implantation in Fontan circulation

Gianfranco Butera^*, Gianluca Lucchese, Conal Austin, Alessandra Frigiola

^*Corresponding author for this work

King's College London

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Trans-apical approach has been proved successful in failing surgical bio-prosthesis in both mitral and aortic position in adult patients. Recently, valve-in-valve treatments have been applied even in patients with complex congenital heart disease. Here, we report the case of a 32 years old lady with left atrial isomerism, complete AV septal defect, interrupted inferior vena cava with azygos continuation who underwent Kawashima procedure with atrial Fontan. Severe systemic atrioventricular valve regurgitation necessitated a 33 mm Perimount valve implantation and conversion to lateral tunnel Fontan. After only 4 years there was severe valve stenosis and the patient underwent successful trans-apical transcatheter implantation of a 29 mm Sapien valve.

Original language	English
Pages (from-to)	950-953
Number of pages	4
Journal	CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
Volume	95
Issue number	5
DOIs	https://doi.org/10.1002/ccd.28714
Publication status	Published - 1 Apr 2020

Keywords

atrioventricular valve replacement
Fontan circulation
total cavopulmonary connection
transcatheter valve-in-valve implantation

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1002/ccd.28714

Cite this

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title = "Hybrid trans-apical atrioventricular valve-in-valve implantation in Fontan circulation",

abstract = "Trans-apical approach has been proved successful in failing surgical bio-prosthesis in both mitral and aortic position in adult patients. Recently, valve-in-valve treatments have been applied even in patients with complex congenital heart disease. Here, we report the case of a 32 years old lady with left atrial isomerism, complete AV septal defect, interrupted inferior vena cava with azygos continuation who underwent Kawashima procedure with atrial Fontan. Severe systemic atrioventricular valve regurgitation necessitated a 33 mm Perimount valve implantation and conversion to lateral tunnel Fontan. After only 4 years there was severe valve stenosis and the patient underwent successful trans-apical transcatheter implantation of a 29 mm Sapien valve.",

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T1 - Hybrid trans-apical atrioventricular valve-in-valve implantation in Fontan circulation

AU - Butera, Gianfranco

AU - Lucchese, Gianluca

AU - Austin, Conal

AU - Frigiola, Alessandra

PY - 2020/4/1

Y1 - 2020/4/1

N2 - Trans-apical approach has been proved successful in failing surgical bio-prosthesis in both mitral and aortic position in adult patients. Recently, valve-in-valve treatments have been applied even in patients with complex congenital heart disease. Here, we report the case of a 32 years old lady with left atrial isomerism, complete AV septal defect, interrupted inferior vena cava with azygos continuation who underwent Kawashima procedure with atrial Fontan. Severe systemic atrioventricular valve regurgitation necessitated a 33 mm Perimount valve implantation and conversion to lateral tunnel Fontan. After only 4 years there was severe valve stenosis and the patient underwent successful trans-apical transcatheter implantation of a 29 mm Sapien valve.

AB - Trans-apical approach has been proved successful in failing surgical bio-prosthesis in both mitral and aortic position in adult patients. Recently, valve-in-valve treatments have been applied even in patients with complex congenital heart disease. Here, we report the case of a 32 years old lady with left atrial isomerism, complete AV septal defect, interrupted inferior vena cava with azygos continuation who underwent Kawashima procedure with atrial Fontan. Severe systemic atrioventricular valve regurgitation necessitated a 33 mm Perimount valve implantation and conversion to lateral tunnel Fontan. After only 4 years there was severe valve stenosis and the patient underwent successful trans-apical transcatheter implantation of a 29 mm Sapien valve.

KW - atrioventricular valve replacement

KW - Fontan circulation

KW - total cavopulmonary connection

KW - transcatheter valve-in-valve implantation

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Hybrid trans-apical atrioventricular valve-in-valve implantation in Fontan circulation

Abstract

Keywords

UN SDGs

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