CLINICAL STUDY: PEDIATRIC CARDIOLOGY
Percutaneous insertion of the pulmonary valve
Philipp Bonhoeffer, MD*,*,
Younes Boudjemline, MD ,
Shakeel A. Qureshi, MD ,
Jerome Le Bidois, MD,
Laurence Iserin, MD,
Philippe Acar, MD,
Jacques Merckx, MD,
Jean Kachaner, MD and
Daniel Sidi, MD
* 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.
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Abbreviations and Acronyms
| | NYHA | | New York Heart Association | | PA | | pulmonary artery | | PV | | pulmonary valve | | RV | | right ventricle, right ventricular | | VSD | | ventricular septal defect |
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2(10):
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|
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June 16, 2009;
119(23):
2995 - 3001.
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|
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|
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|
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|
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June 1, 2009;
137(6):
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[PDF]
|
|
|
|
|
|
|
N. Piazza, A. Asgar, R. Ibrahim, and R. Bonan
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J. Am. Coll. Cardiol.,
May 19, 2009;
53(20):
1837 - 1851.
[Abstract]
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|
|
|
|
|
|
|
F. Godart, I. Bouzguenda, F. Juthier, F. Wautot, A. Prat, C. Rey, D. Corseaux, A. Ung, B. Jude, and A. Vincentelli
Experimental off-pump transventricular pulmonary valve replacement using a self-expandable valved stent: A new approach for pulmonary incompetence after repaired tetralogy of Fallot?
J. Thorac. Cardiovasc. Surg.,
May 1, 2009;
137(5):
1141 - 1145.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. H. Huber, M. Hurni, V. Tsang, and L. K. von Segesser
Valved stents for transapical pulmonary valve replacement
J. Thorac. Cardiovasc. Surg.,
April 1, 2009;
137(4):
914 - 918.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. L. Monro
Editorial comment: Late outcomes following repair of tetralogy of Fallot
Eur. J. Cardiothorac. Surg.,
January 1, 2009;
35(1):
165 - 166.
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Ye, A. Cheung, S. V. Lichtenstein, L. A. Altwegg, D. R. Wong, R. G. Carere, C. R. Thompson, R. R. Moss, B. Munt, S. Pasupati, et al.
Transapical transcatheter aortic valve implantation: 1-year outcome in 26 patients.
J. Thorac. Cardiovasc. Surg.,
January 1, 2009;
137(1):
167 - 173.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. E. Deanfield, R. Yates, F. J. Meijboom, and B. J.M. Mulder
CHAPTER 10 Congenital Heart Disease in Children and Adults
ESC Textbook of Cardiovascular Medicine,
January 1, 2009;
2(1):
med-9780199566990-chapter - med-9780199566990-chapter.
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[PDF]
|
|
|
|
|
|
|
C. A. Warnes, R. G. Williams, T. M. Bashore, J. S. Child, H. M. Connolly, J. A. Dearani, P. del Nido, J. W. Fasules, T. P. Graham Jr, Z. M. Hijazi, et al.
ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease) Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons
J. Am. Coll. Cardiol.,
December 2, 2008;
52(23):
e143 - e263.
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. A. Warnes, R. G. Williams, T. M. Bashore, J. S. Child, H. M. Connolly, J. A. Dearani, P. del Nido, J. W. Fasules, T. P. Graham Jr, Z. M. Hijazi, et al.
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Circulation,
December 2, 2008;
118(23):
e714 - e833.
[Full Text]
[PDF]
|
|
|
|
|
|
|
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.
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[Full Text]
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|
|
|
|
|
|
|
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
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May 2, 2006;
113(17):
2037 - 2044.
[Abstract]
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|
|
|
|
|
|
|
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]
|
|
|
|
