Transcatheter Aortic Valve Implantation in a Patient with Fontan Circulation
Author Information
Author(s): Nederend Marieke, van der Kley Frank, Regeer Madelien V., Bökenkamp Regina, de Weger Arend, Jongbloed Monique R.M., Egorova Anastasia D.
Primary Institution: Leiden University Medical Center, Leiden, the Netherlands
Conclusion
Transcatheter aortic valve-in-valve implantation was feasible and safe for a patient with Fontan circulation, improving hemodynamics and reducing regurgitation.
Supporting Evidence
- The patient had severe regurgitation and stenosis of the aortic homograft.
- Three sequential transcatheter aortic valve-in-valve implantations were performed.
- Post-procedural echocardiography showed improved hemodynamics and reduced regurgitation.
Takeaway
Doctors used a special heart valve procedure to help a young man with a complex heart condition feel better and reduce his heart problems.
Methodology
The procedure was performed under conscious sedation through a right femoral artery access, using a 20 mm bioprosthesis for valve implantation.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 21-year-old male with a complex congenital heart defect.
Digital Object Identifier (DOI)
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