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Overcoming sternal compression: high-risk transcatheter pulmonary valve replacement

Published online by Cambridge University Press:  30 July 2025

Stephen Dalby Open the ORCID record for Stephen Dalby [Opens in a new window] ,
Markus S. Renno  and
Michael Angtuaco Open the ORCID record for Michael Angtuaco [Opens in a new window]
Stephen Dalby*
Affiliation:
Arkansas Children’s Hospital, Little Rock, AR, USA Section of Pediatric Cardiology, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA
Markus S. Renno
Affiliation:
Arkansas Children’s Hospital, Little Rock, AR, USA Section of Pediatric Cardiology, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA
Michael Angtuaco
Affiliation:
Arkansas Children’s Hospital, Little Rock, AR, USA Section of Pediatric Cardiology, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA
*
Corresponding author: Stephen Dalby; Email: SDalby2@uams.edu
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Abstract

Transcatheter pulmonary valve replacement (TPVR) is often employed for patients who are poor surgical candidates. We present a case of posterior sternal protrusion into a surgically placed right ventricle to pulmonary artery conduit, making the patient a poor candidate for surgical replacement and leading to significant operator distress during ultimately successful TPVR.

Keywords

Transcatheter pulmonary valve replacementaortopulmonary fistulacovered stentchildren

Information

Type
Case Report
Information
Cardiology in the Young , Volume 35 , Issue 7 , July 2025 , pp. 1490 - 1492
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Copyright
© The Author(s), 2025. Published by Cambridge University Press

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References

Mery, CM, Guzman-Pruneda, FA, De Leon, LE, et al. Risk factors for development of endocarditis and reintervention in patients undergoing right ventricle to pulmonary artery valved conduit placement. J Thorac Cardiovasc Surg 2016; 151: 432–441.e2.CrossRefGoogle ScholarPubMed
Armstrong, AK, Balzer, DT, Cabalka, AK, et al. One-year follow-up of the Melody transcatheter pulmonary valve multicenter post-approval study. JACC Cardiovasc Interv 2014; 7: 1254–1262.CrossRefGoogle ScholarPubMed
Cheatham, JP, Hellenbrand, WE, Zahn, EM, et al. Clinical and hemodynamic outcomes up to 7 years after transcatheter pulmonary valve replacement in the US Melody Valve Investigational Device Exemption Trial. Circulation 2015; 131: 1960–1970.CrossRefGoogle ScholarPubMed