Abstract
Surgical pulmonary valve replacement lacks longevity as conduit dysfunction usually occurs within 10–15 years and exposes patients to multiple risky operations over their lifetime. The recent availability of a percutaneous approach to treat RVOT dysfunction, therefore, offers an attractive solution, as it permits earlier intervention without the problems associated with surgery and cardiopulmonary bypass. Initial midterm results are promising, and the technique has proved safe and has provided efficacious relief of pressure and/or volume overload. These results are associated with improvement of symptoms and objective exercise capacity. However, PPVI is not free from possible complications. Due to anatomical (size and morphology) and dynamic reasons, with the current device, only 15 % of patients with RVOT dysfunction are eligible for such a treatment.
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References
McElhinney DB, Hellenbrand WE, Zahn EM et al (2010) Short- and medium-term outcomes after transcatheter pulmonary valve placement in the expanded multicenter US melody valve trial. Circulation 122:507–516
Eicken A, Ewert P, Hager A et al (2011) Percutaneous pulmonary valve implantation: two-centre experience with more than 100 patients. Eur Heart J 32:1260–1265
Butera G, Milanesi O, Spadoni I et al (2013) Melody transcatheter pulmonary valve implantation. Results from the registry of the Italian society of pediatric cardiology. Catheter Cardiovasc Interv 81:310–316
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Butera, G., Chessa, M., Bonhoeffer, P. (2015). Melody Valve Implantation in Pulmonary Position. In: Butera, G., Chessa, M., Eicken, A., Thomson, J. (eds) Cardiac Catheterization for Congenital Heart Disease. Springer, Milano. https://doi.org/10.1007/978-88-470-5681-7_35
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DOI: https://doi.org/10.1007/978-88-470-5681-7_35
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