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Transcatheter systemic atrioventricular valve-in-valve implantation in a congenitally corrected transposition of the great arteries patient

Published online by Cambridge University Press:  10 March 2023

Miguel Martins de Carvalho*
Affiliation:
Department of Cardiology, São João Universitary Hospital, Oporto, Portugal Cardiovascular R&D Center, Universidade do Porto Faculdade de Medicina, Portugal
Ana Paula Machado
Affiliation:
Department of Obstetrics, São João Universitary Hospital, Oporto, Portugal
Rui André Rodrigues
Affiliation:
Department of Cardiology, São João Universitary Hospital, Oporto, Portugal
João Carlos Silva
Affiliation:
Department of Cardiology, São João Universitary Hospital, Oporto, Portugal
Cristina Cruz
Affiliation:
Department of Cardiology, São João Universitary Hospital, Oporto, Portugal
Filipe Macedo
Affiliation:
Department of Cardiology, São João Universitary Hospital, Oporto, Portugal Cardiovascular R&D Center, Universidade do Porto Faculdade de Medicina, Portugal
*
Author for correspondence: Miguel Martins de Carvalho, Department of Cardiology, Alameda Prof. Hernani Monteiro, 4200-319 Porto, Portugal. Tel: +351967096459. E-mail: miguel.martins.carvalho@chsj.min-saude.pt

Abstract

We present an asymptomatic pregnant patient with congenitally corrected transposition of the great arteries and severe atrioventricular bioprosthesis regurgitation – with increased maternal and fetal risk due to volume overload. She was considered high risk for reintervention and was submitted to an off-label post-partum transcatheter valve-in-valve implantation with a Sapiens 3 valve. The procedure was successful, and she remains asymptomatic 30 months after – and even went through another successful pregnancy.

Type
Brief Report
Copyright
© The Author(s), 2023. Published by Cambridge University Press

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