Dysfunctional pulmonary artery conduit and co-existing large pseudoaneurysm: well-suited for a percutaneous approach with the Melody valve?

SpringerPlus - Tập 5 - Trang 1-4 - 2016
Rouven Kubicki1, Brigitte Stiller1, Jochen Grohmann1
1Department of Congenital Heart Defects and Pediatric Cardiology, Heart Center, University of Freiburg, Freiburg, Germany

Tóm tắt

Pseudoaneurysm formation is a rare but potentially life-threatening complication after surgical repair of congenital heart disease. We present a boy with truncus arteriosus communis 14 years after homograft placement in pulmonary position. On follow-up, he presented progressive chronic homograft degeneration. Moreover, a large pseudoaneurysm in the right ventricular outflow tract was surprisingly depicted. We opted for a two-stage interventional approach.

Tài liệu tham khảo

Antal AD, Cikirikcioglu M, Myers PO, Didier D, Kalangos A (2010) Respiratory distress after surgery of RVOT pathologies: a word of caution on pseudoaneurysm development. Thorac Cardiovasc Surg 58(6):356–358 Cheatham SL, Holzer RJ, Chisolm JL, Cheatham JP (2013) The Medtronic Melody(R) transcatheter pulmonary valve implanted at 24-mm diameter—it works. Catheter Cardiovasc Interv 82(5):816–823 Cools B, Brown SC, Heying R et al (2015) Percutaneous pulmonary valve implantation for free pulmonary regurgitation following conduit-free surgery of the right ventricular outflow tract. Int J Cardiol 186:129–135 Feltes TF, Bacha E, Beekman RH 3rd et al (2011) Indications for cardiac catheterization and intervention in pediatric cardiac disease: a scientific statement from the American Heart Association. Circulation 123(22):2607–2652 Holzer RJ, Hijazi ZM (2016) Transcatheter pulmonary valve replacement: state of the art. Catheter Cardiovasc Interv 87(1):117–128 Jagia P, Sharma S, Juneja R, Guleria R (2011) Transcatheter treatment of pulmonary artery pseudoaneurysm using a PDA closure device. Diagn Interv Radiol 17(1):92–94 Levine JC, Mayer JE Jr, Keane JF, Spevak PJ, Sanders SP (1995) Anastomotic pseudoaneurysm of the ventricle after homograft placement in children. Ann Thorac Surg 59(1):60–66 Masri SI, Majdalani MN, Bitar FF (2014) Novel percutaneous femoral arterial-transthoracic approach for closure of ascending aortic pseudoaneurysm with a septal occluder device in a child. Cardiol Young 24(4):752–755 Murashita T, Hatta E, Imamura M, Yasuda K (2002) Giant pseudoaneurysm of the right ventricular outflow tract after repair of truncus arteriosus: evaluation by MR imaging and surgical approach. Eur J Cardiothorac Surg 22(5):849–851 Sadiq M, Fenton AC, Firmin RK (1994) False aneurysm of the right ventricular outflow tract after total correction of tetralogy of Fallot: diagnosis by echocardiography and successful repair by neck cannulation for cardiopulmonary bypass. Br Heart J 71(6):566–568 Vaidyanathan B, Kannan BR, Kumar RK (2004) Images in cardiovascular medicine. Catheter closure of pseudoaneurysm of the main pulmonary artery. Circulation 110(13):e322–e323 Yeo TC, Malouf JF, Oh JK, Seward JB (1998) Clinical profile and outcome in 52 patients with cardiac pseudoaneurysm. Ann Intern Med 128(4):299–305