|
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |
|
|
|
|||||||||
|
|||||||||||
|
J Am Coll Cardiol, 2002; 39:1664-1669 © 2002 by the American College of Cardiology Foundation |
* Cardiothoracic Unit, Great Ormond Street Hospital for Children NHS Trust, London, United Kingdom
Service de Cardiologie Pédiatrique, Hôpital Necker Enfants Malades, Paris, France
Cardiac Unit, Guy’s Hospital, London, United Kingdom
Manuscript received October 11, 2001; revised manuscript received February 19, 2002, accepted February 20, 2002.
* Reprint requests and correspondence: Dr. Philipp Bonhoeffer, Cardiothoracic Unit, Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London WC1N 3JH, United Kingdom.
Bonhop{at}gosh.nhs.uk
OBJECTIVES: We report our experience of percutaneous valve insertion in pulmonary position in humans.
BACKGROUND: Over the past 40 years, prosthetic conduits have been developed to surgically establish continuity between the right ventricle and the pulmonary artery. However, stenosis and insufficiency of the conduit due to valvular degeneration or panus ingrowth frequently occur, limiting patients’ lifespan. Percutaneous stenting of conduits has recently emerged as a technique for delaying surgical replacement, but it creates a pulmonary regurgitation when crossing the valve.
METHODS: Seven children and one adult with stenosis and/or insufficiency of the pulmonary graft underwent percutaneous implantation of a bovine jugular valve in pulmonary position.
RESULTS: Percutaneous pulmonary valve (PV) replacement was successful in all patients. No complications occurred in early follow-up. Angiography, hemodynamic studies and echocardiography after the procedure showed no significant regurgitation of the implanted valve. Implantation was effective in relieving the obstruction in five patients. All patients showed improvement in their clinical status at the latest follow-up (mean 10.1 months).
CONCLUSIONS: Non-surgical insertion of the PV is possible without any major complications. This new technique may have an important role in the management of conduit obstructions and pulmonary regurgitation.
| ||||||||||||
This article has been cited by other articles:
|
|
 |
|
  M. Kostolny, V. Tsang, J. Nordmeyer, C. Van Doorn, A. Frigiola, S. Khambadkone, M. R. de Leval, and P. Bonhoeffer Rescue surgery following percutaneous pulmonary valve implantation Eur. J. Cardiothorac. Surg., April 1, 2008; 33(4): 607 - 612. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Nordmeyer, L. Coats, P. Lurz, T.-Y. Lee, G. Derrick, P. Rees, S. Cullen, A. M. Taylor, S. Khambadkone, and P. Bonhoeffer Percutaneous pulmonary valve-in-valve implantation: a successful treatment concept for early device failure Eur. Heart J., March 3, 2008; (2008) ehn073v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. G. Webb, S. Pasupati, K. Humphries, C. Thompson, L. Altwegg, R. Moss, A. Sinhal, R. G. Carere, B. Munt, D. Ricci, et al. Percutaneous Transarterial Aortic Valve Replacement in Selected High-Risk Patients With Aortic Stenosis Circulation, August 14, 2007; 116(7): 755 - 763. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Schievano, F. Migliavacca, L. Coats, S. Khambadkone, M. Carminati, N. Wilson, J. E. Deanfield, P. Bonhoeffer, and A. M. Taylor Percutaneous Pulmonary Valve Implantation Based on Rapid Prototyping of Right Ventricular Outflow Tract and Pulmonary Trunk from MR Data Radiology, February 1, 2007; 242(2): 490 - 497. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Aggarwal, S. Garekar, T. J. Forbes, and D. R. Turner Is Stent Placement Effective for Palliation of Right Ventricle to Pulmonary Artery Conduit Stenosis? J. Am. Coll. Cardiol., January 30, 2007; 49(4): 480 - 484. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Zegdi, Z. Khabbaz, N. Borenstein, and J.-N. Fabiani A Repositionable Valved Stent for Endovascular Treatment of Deteriorated Bioprostheses J. Am. Coll. Cardiol., October 3, 2006; 48(7): 1365 - 1368. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Oosterhof, F. J. Meijboom, H. W. Vliegen, M. G. Hazekamp, A. H. Zwinderman, B. J. Bouma, A. P.J. van Dijk, and B. J.M. Mulder Long-term follow-up of homograft function after pulmonary valve replacement in patients with tetralogy of Fallot Eur. Heart J., June 2, 2006; 27(12): 1478 - 1484. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Coats, S. Khambadkone, G. Derrick, S. Sridharan, S. Schievano, B. Mist, R. Jones, J. E. Deanfield, D. Pellerin, P. Bonhoeffer, et al. Physiological and Clinical Consequences of Relief of Right Ventricular Outflow Tract Obstruction Late After Repair of Congenital Heart Defects Circulation, May 2, 2006; 113(17): 2037 - 2044. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. J.M. Takkenberg, A. P. Kappetein, L. A. van Herwerden, M. Witsenburg, L. V. Osch-Gevers, and A. J.J.C. Bogers Pediatric Autograft Aortic Root Replacement: A Prospective Follow-Up Study Ann. Thorac. Surg., November 1, 2005; 80(5): 1628 - 1633. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Boudjemline, E. Pineau, N. Borenstein, L. Behr, and P. Bonhoeffer New insights in minimally invasive valve replacement: description of a cooperative approach for the off-pump replacement of mitral valves Eur. Heart J., October 1, 2005; 26(19): 2013 - 2017. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Attmann, T. Jahnke, R. Quaden, A. Boening, S. Muller-Hulsbeck, J. Cremer, and G. Lutter Advances in Experimental Percutaneous Pulmonary Valve Replacement Ann. Thorac. Surg., September 1, 2005; 80(3): 969 - 975. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Khambadkone, L. Coats, A. Taylor, Y. Boudjemline, G. Derrick, V. Tsang, J. Cooper, V. Muthurangu, S. R. Hegde, R. S. Razavi, et al. Percutaneous Pulmonary Valve Implantation in Humans: Results in 59 Consecutive Patients Circulation, August 23, 2005; 112(8): 1189 - 1197. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Ma, P. Tozzi, C. H. Huber, S. Taub, G. Gerelle, and L. K. von Segesser Double-crowned valved stents for off-pump mitral valve replacement Eur. J. Cardiothorac. Surg., August 1, 2005; 28(2): 194 - 198. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Mohammadi, E. Belli, I. Martinovic, L. Houyel, A. Capderou, J. Petit, C. Planche, and A. Serraf Surgery for right ventricle to pulmonary artery conduit obstruction: risk factors for further reoperation Eur. J. Cardiothorac. Surg., August 1, 2005; 28(2): 217 - 222. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. E. Ruiz, M. Iemura, S. Medie, P. Varga, W. G. Van Alstine, S. Mack, A. Deligio, N. Fearnot, U. H. Beier, D. Pavcnik, et al. Transcatheter placement of a low-profile biodegradable pulmonary valve made of small intestinal submucosa: A long-term study in a swine model J. Thorac. Cardiovasc. Surg., August 1, 2005; 130(2): 477 - 484. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H Sugiyama, W Williams, and L N Benson Implantation of endovascular stents for the obstructive right ventricular outflow tract Heart, August 1, 2005; 91(8): 1058 - 1063. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Boudjemline, G. Agnoletti, D. Bonnet, L. Behr, N. Borenstein, D. Sidi, and P. Bonhoeffer Steps Toward the Percutaneous Replacement of Atrioventricular Valves: An Experimental Study J. Am. Coll. Cardiol., July 19, 2005; 46(2): 360 - 365. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Quaden, T. Attmann, A. Boening, J. Cremer, and G. Lutter Percutaneous aortic valve replacement: resection before implantation Eur. J. Cardiothorac. Surg., May 1, 2005; 27(5): 836 - 840. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Boudjemline, S. Schievano, C. Bonnet, L. Coats, G. Agnoletti, S. Khambadkone, D. Bonnet, J. Deanfield, D. Sidi, and P. Bonhoeffer Off-pump replacement of the pulmonary valve in large right ventricular outflow tracts: A hybrid approach J. Thorac. Cardiovasc. Surg., April 1, 2005; 129(4): 831 - 837. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Bouzas, P. J. Kilner, and M. A. Gatzoulis Pulmonary regurgitation: not a benign lesion Eur. Heart J., March 1, 2005; 26(5): 433 - 439. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Lutter, R. Ardehali, J. Cremer, and P. Bonhoeffer Percutaneous Valve Replacement: Current State and Future Prospects Ann. Thorac. Surg., December 1, 2004; 78(6): 2199 - 2206. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R E Andrews and R M R Tulloh Interventional cardiac catheterisation in congenital heart disease Arch. Dis. Child., December 1, 2004; 89(12): 1168 - 1173. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. D. Fish Percutaneous Heart Valve Replacement: Enthusiasm Tempered Circulation, October 5, 2004; 110(14): 1876 - 1878. [Full Text] [PDF]
|
|
|
|
|
|
A. F. Corno, S. D. Qanadli, N. Sekarski, S. Artemisia, M. Hurni, P. Tozzi, and L. K. von Segesser Bovine Valved Xenograft in Pulmonary Position: Medium-Term Follow-Up With Excellent Hemodynamics and Freedom From Calcification Ann. Thorac. Surg., October 1, 2004; 78(4): 1382 - 1388. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Boudjemline, G. Agnoletti, D. Bonnet, D. Sidi, and P. Bonhoeffer Percutaneous pulmonary valve replacement in a large right ventricular outflow tract: An experimental study J. Am. Coll. Cardiol., March 17, 2004; 43(6): 1082 - 1087. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Z. M. Hijazi Transcatheter valve replacement: a new era of percutaneous cardiac intervention begins J. Am. Coll. Cardiol., March 17, 2004; 43(6): 1088 - 1089. [Full Text] [PDF]
|
|
|
|
|
|
M. H. Yacoub and L. H. Cohn Novel Approaches to Cardiac Valve Repair: From Structure to Function: Part II Circulation, March 9, 2004; 109(9): 1064 - 1072. [Full Text] [PDF]
|
|
|
|
|
|
A. Cribier, H. Eltchaninoff, C. Tron, F. Bauer, C. Agatiello, L. Sebagh, A. Bash, D. Nusimovici, P. Y. Litzler, J.-P. Bessou, et al. Early experience with percutaneous transcatheter implantation of heart valve prosthesis for the treatment of end-stage inoperable patients with calcific aortic stenosis J. Am. Coll. Cardiol., February 18, 2004; 43(4): 698 - 703. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. R. Kanter, D. A. Fyfe, W. T. Mahle, J. M. Forbess, and P. M. Kirshbom Results with the freestyle porcine aortic root for right ventricular outflow tract reconstruction in children Ann. Thorac. Surg., December 1, 2003; 76(6): 1889 - 1895. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Q. Zhou, A. F. Corno, C. H. Huber, P. Tozzi, and L. K. von Segesser Self-expandable valved stent of large size: off-bypass implantation in pulmonary position Eur. J. Cardiothorac. Surg., August 1, 2003; 24(2): 212 - 216. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. F. Corno, J. Zhou, P. Tozzi, and L. K. von Segesser Off-bypass implantation of a self-expandable valved stent between inferior vena cava and right atrium Interactive CardioVascular and Thoracic Surgery, June 1, 2003; 2(2): 166 - 169. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Boudjemline and P. Bonhoeffer Percutaneous valve insertion: A new approach? J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(3): 741 - 742. [Full Text] [PDF]
|
|
|
|
|
|
A. Cribier, H. Eltchaninoff, A. Bash, N. Borenstein, C. Tron, F. Bauer, G. Derumeaux, F. Anselme, F. Laborde, and M. B. Leon Percutaneous Transcatheter Implantation of an Aortic Valve Prosthesis for Calcific Aortic Stenosis: First Human Case Description Circulation, December 10, 2002; 106(24): 3006 - 3008. [Abstract] [Full Text] [PDF]
|
|
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |
