17 August 2022: Articles
Right Heart Failure in a Patient with Critical Pulmonary Stenosis, Absent Right Pulmonary Artery, and Lung Cancer
Rare disease, Congenital defects / diseases, Rare coexistence of disease or pathology
Arthur Iturriagagoitia E* , Marc Vanderheyden E , Werner Budts B , Piet Vercauter EDOI: 10.12659/AJCR.937305
Am J Case Rep 2022; 23:e937305
Figure 5. Percutaneous pulmonary valve implantation (PPVI). (A) Valvular RVOT obstruction and a single left PA. (B) RVOT balloon inflation (Tyshak II PDC 523 17.0×33 catheter) with simultaneous aortic root angiography (Pigtail 5 French catheter) to exclude coronary artery compression. (C) Three stents deployed in the RVOT with consequent free pulmonic regurgitation, visible as reflux of contrast into the RV. Two Covered 8 Z 45 stents and 1 Optimus AT 43 XL stent premounted on BIB BB 10 and 11 French catheters were used. The stents were placed in a diabolo configuration to limit diastolic backflow. Post-dilatation of the first stent with a PTS 306 30.0×30 8 French catheter. (D) Angiography after 23 mm Edwards SAPIEN 3 valve implantation shows competent valve function.