Percutaneous pulmonary valve implantation and surgical valve replacement in patients with right ventricular outflow tract dysfunction — A complementary treatment concept

Dilber, Daniel; Hörer, Jürgen; Malčić, Ivan; Hess, John; Ewert, Peter; Eicken, Andreas

doi:10.1016/j.ijcard.2013.08.122

Cited by 12 publications

(9 citation statements)

References 6 publications

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“…[5][6][7] Compared with surgery for right ventricular outflow tract dysfunction, percutaneous pulmonary valve implantation has a lower complication rate and the hospitalisation is shorter. 8 The need to remove a Melody valve during intended percutaneous pulmonary valve implantation is a very rare event. In our own experience, it occurred only once in 234 percutaneous pulmonary valve implantations so far.…”

Section: Discussionmentioning

confidence: 99%

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Percutaneous retrieval of a partially flared Melody valve

2018

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Section: Discussionmentioning

confidence: 99%

“…Compared with surgery for right ventricular outflow tract dysfunction, percutaneous pulmonary valve implantation has a lower complication rate and the hospitalisation is shorter 8 …”

Section: Discussionmentioning

confidence: 99%

Percutaneous retrieval of a partially flared Melody valve

2018

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“…In the 1-to 4-year postoperative period, IE after TPVR has been documented in <3% of patients; however, this may be a significant underestimation given the lack of long-term follow-up PEDIATRICS Volume 137 , number 1 , January 2016 data in this population. [4][5][6][7][8][9] In one recent prospective study, 5 (6%) of 86 patients who underwent Melody TPVR from 2009 to 2012 developed IE after 2.6 to 28.0 months of follow-up. All cases had a history of fever and demonstrated a sudden increase in RVOT gradient on echocardiogram.…”

Section: Discussionmentioning

confidence: 99%

Melody Valve Bartonella henselae Endocarditis in an Afebrile Teen: A Case Report

et al. 2016

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Significant advancements in the care of children with cardiac valve disease over the past 15 years have led to the increasingly common use of percutaneous transcatheter valve implantation as an alternative to surgical replacement in selected patient populations. Although the transcatheter approach has several advantages, this approach and the valves used are not without complications. Bacterial endocarditis is a known and concerning complication after transcatheter pulmonary valve replacement (TPVR). Most reported cases have involved organisms that are common etiologic agents of bacterial endocarditis and are readily identified via blood culture. However, culture-negative endocarditis in the setting of TPVR has not been well described. We present our experience with one afebrile teenager with culture-negative, serology-positive Bartonella henselae endocarditis of a Melody valve 18 months after TPVR for management of tetralogy of Fallot. The teen was successfully managed with long-term antibiotic therapy followed by surgical replacement of the valve. To our knowledge, this is the first reported case of culture-negative endocarditis of a Melody TPVR in the absence of fever. This report discusses the importance of considering culture-negative endocarditis in the differential diagnosis of an afebrile patient with TPVR presenting with constitutional symptoms and valve dysfunction, particularly in the primary care setting. It is anticipated that with an increase in the successfully aging population of children who have undergone cardiac repair, the evaluation of these patients will become an increasingly important and common task for the community pediatrician.

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“…Despite the rapid progress of PPVR, long-term outcomes as described for SPVR have not yet been produced. Recently, Dilber et al ( 22 ) conducted a single-center retrospective study of patients with RVOT dysfunction who had undergone either SPVR or PPVR based on the indications for each of these procedures. The authors concluded that patients with RVOT dysfunction can be treated effectively using a complementary treatment concept, including SPVR and PPVR.…”

Section: Percutaneous Pvrmentioning

confidence: 99%

Recent Development in Pulmonary Valve Replacement after Tetralogy of Fallot Repair: The Emergence of Hybrid Approaches

et al. 2015

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An increasing number of patients with tetralogy of Fallot require repeat surgical intervention for pulmonary valve replacement secondary to pulmonary regurgitation. Catheter-based interventions have emerged as an attractive alternative to surgery in this patient population but it is limited by patient size or the anatomy of the right ventricular outflow tract. Hybrid approaches involving both cardiac interventionists and surgeons are being developed to overcome these limitations. The purpose of this review is to highlight the recent advances in the hybrid field of pulmonary valve replacement, summarizing the advantages and disadvantages of the “traditional” surgical and the new catheter-based techniques and discuss the direction future research should take to determine the optimal management for individual patients.

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Percutaneous pulmonary valve implantation and surgical valve replacement in patients with right ventricular outflow tract dysfunction — A complementary treatment concept

Cited by 12 publications

References 6 publications

Percutaneous retrieval of a partially flared Melody valve

Percutaneous retrieval of a partially flared Melody valve

Melody Valve Bartonella henselae Endocarditis in an Afebrile Teen: A Case Report

Recent Development in Pulmonary Valve Replacement after Tetralogy of Fallot Repair: The Emergence of Hybrid Approaches

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