Hostname: page-component-76fb5796d-5g6vh Total loading time: 0 Render date: 2024-04-27T01:58:42.486Z Has data issue: false hasContentIssue false

Transcatheter pulmonary valve insertion: when, how, and why*

Published online by Cambridge University Press:  18 January 2013

Jeremy M. Ringewald*
Affiliation:
Division of Pediatric Cardiology, The Congenital Heart Institute of Florida (CHIF), All Children's Hospital and Saint Joseph's Children's Hospital of Tampa, Pediatric Cardiology Associates/Pediatrix Medical Group, Saint Petersburg and Tampa, Florida, United States of America
Elsa J. Suh
Affiliation:
Division of Pediatric Cardiology, The Congenital Heart Institute of Florida (CHIF), All Children's Hospital and Saint Joseph's Children's Hospital of Tampa, Pediatric Cardiology Associates/Pediatrix Medical Group, Saint Petersburg and Tampa, Florida, United States of America
*
Correspondence to: J. M. Ringewald, MD, Director, Invasive Cardiology, The Congenital Heart Institute of Florida (CHIF), 3003 W. Dr. MLK Jr BLVD, Tampa, FL 33607, United States of America. Tel: 8135548701; Fax: 8138700100; E-mail: tampakidhrtdoc@gmail.com

Abstract

Transcatheter pulmonary valve replacement is fast becoming an accepted alternative to repeat surgical pulmonary valve replacement for selected patients and therefore a complementary strategy in the long-term management of those requiring surgical pulmonary valve replacement. With a combined surgical and percutaneous approach, late morbidity for some of these patients may be diminished. This manuscript will review the current indications for this procedure, its limitations, and its benefits.

Type
Original Article
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Presented at: 12th Annual International Symposium on Congenital Heart Disease, February 17–21, 2012, All Children's Hospital, Saint Petersburg, Florida, United States of America.

References

1. Jacobs, JP, Jacobs, ML, Mavroudis, C, Lacour-Gayet, FG, Tchervenkov, CI. Executive Summary: The Society of Thoracic Surgeons Congenital Heart Surgery Database – Sixteenth Harvest – (January 1, 2008–Dec 31, 2011). The Society of Thoracic Surgeons (STS) and Duke Clinical Research Institute (DCRI), Duke University Medical Center, Durham, North Carolina, US, Spring 2012 Harvest.Google Scholar
2. Davlouros, PA, Karatza, AA, Gatzoulis, MA, Shore, DF. Timing and type of surgery for severe pulmonary regurgitation after repair of tetralogy of Fallot. Int J Cardiol 2004; 97 (Suppl 1): 91101.Google Scholar
3. Oosterhof, T, van Straten, A, Vliegen, HW, et al. Preoperative thresholds for pulmonary valve replacement in patients with corrected tetralogy of Fallot using cardiovascular magnetic resonance. Circulation 2007; 116: 545551.Google Scholar
4. Mulder, BJ, Vliegen, HW, van der Wall, EE. Diastolic dysfunction: a new additional criterion for optimal timing of pulmonary valve replacement in adult patients with tetralogy of Fallot? Int J Cardiovasc Imaging 2008; 24: 867870.CrossRefGoogle ScholarPubMed
5. Frigiola, A, Tsang, V, Bull, C, et al. Biventricular response after pulmonary valve replacement for right ventricular outflow tract dysfunction: is age a predictor of outcome? Circulation 2008; 118 (Suppl 14): S182S190.Google Scholar
6. Karamlou, T, Ungerleider, RM, Alsoufi, B, et al. Oversizing pulmonary homograft conduits does not significantly decrease allograft failure in children. Eur J Cardiothorac Surg 2005; 27: 548553.Google Scholar
7. Zeevi, B, Keane, JF, Perry, SB, Lock, JE. Balloon dilation of postoperative right ventricular outflow obstructions. J Am Coll Cardiol 1989; 14: 401408.CrossRefGoogle ScholarPubMed
8. Ensing, GJ, Hagler, DJ, Seward, JB, Julsrud, PR, Mair, DD. Caveats of balloon dilation of conduits and conduit valves. J Am Coll Cardiol 1989; 14: 397400.Google Scholar
9. Lloyd, TR, Marvin, WJ, Mahoney, LT, Lauer, RM. Balloon dilation valvuloplasty of bioprosthetic valves in extracardiac conduits. Am Heart J 1987; 114: 268274.Google Scholar
10. Hosking, MC, Benson, LN, Nakanishi, T, Burrows, PE, Williams, WG, Freedom, RM. Intravascular stent prosthesis for right ventricular outflow obstruction. J Am Coll Cardiol 1992; 20: 373380.Google Scholar
11. O'Laughlin, MP, Slack, MC, Grifka, RG, Perry, SB, Lock, JE, Mullins, CE. Implantation and intermediate-term follow-up of stents in congenital heart disease. Circulation 1993; 88: 605614.CrossRefGoogle ScholarPubMed
12. Powell, AJ, Lock, JE, Keane, JF, Perry, SB. Prolongation of RV-PA conduit life span by percutaneous stent implantation. Circulation 1995; 92: 32823288.Google Scholar
13. Peng, LF, McElhinney, DB, Nugent, AW, et al. Endovascular stenting of obstructed right ventricle-to-pulmonary artery conduits: a fifteen-year experience. Circulation 2006; 113: 25982605.Google Scholar
14. Bonhoeffer, P, Boudjemline, Y, Saliba, Z, et al. Percutaneous replacement of pulmonary valve in a right-ventricle to pulmonary-artery prosthetic conduit with valve dysfunction. Lancet 2000; 356: 14031405.Google Scholar
15. Zahn, EM, Hellenbrand, WE, Lock, JE, McElhinney, DB. Implantation of the Melody transcatheter pulmonary valve in patients with dysfunctional right ventricular outflow tract conduits: early results from the U.S. clinical trial. J Am Coll Cardiol 2009; 54: 17221729.Google Scholar
16. McElhinney, DB, Hellenbrand, WE, Zahn, EM, et al. Short- and medium-term outcomes after transcatheter pulmonary valve placement in the expanded multicenter U.S. Melody valve trial. Circulation 2010; 122: 507516.Google Scholar
17. Geva, T. Repaired tetralogy of Fallot: the roles of cardiovascular magnetic resonance in evaluating pathophysiology and for pulmonary valve replacement decision support. J Cardiovasc Magn Reson 2011; 13: 124.Google Scholar
18. Holst, KA, Dearani, JA, Burkhart, HM, et al. Risk factors and early outcomes of multiple reoperations in adults with congenital heart disease. Ann Thorac Surg 2011; 92: 122128; discussion 129-30.Google Scholar
19. Frigiola, A, Tsang, V, Bull, C, et al. Biventricular response after pulmonary valve replacement for right ventricular outflow tract dysfunction: is age a predictor of outcome? Circulation 2008; 118 (14 Suppl): S182S190.CrossRefGoogle ScholarPubMed
20. McElhinney, DB, Cheatham, JP, Jones, TK, et al. Stent fracture, valve dysfunction, and right ventricular outflow tract reintervention after transcatheter pulmonary valve implantation: patient-related and procedural risk factors in the U.S. Melody® valve trial. Circ Cardiovasc Interv 2011; 4: 602614.CrossRefGoogle ScholarPubMed
21. Oosterhof, T, Meijboom, FT, Vliegen, HW, et al. Long-term follow-up of homograft function after pulmonary valve replacement in patients with tetralogy of Fallot. Eur Heart J 2006: 14781484.Google ScholarPubMed
22. Quintessenza, J, Jacobs, JP, Chai, PJ, Morell, VO, Lindberg, H. Polytetrafluoroethylene bicuspid pulmonary valve implantation: experience with 126 Patients. World J Pediatr Cong Heart Surg 2010; 1: 2027.Google Scholar