Pulmonary valve replacement in a large and tortuous right ventricle outflow tract with a 32 mm Myval valve under local anaesthesia: challenges and technical considerations: a case report

Abstract

Background Pulmonary valve replacement in patients with congenital heart diseases and heart failure is challenging. Case summary We describe here a case of patient who had surgical fallot repair with chronic heart failure. Investigations found severe biventricular dysfunction and enlargement due to chronic pulmonary regurgitation. Right ventricle outflow tract was tortuous and large with a diameter of 35 mm. Percutaneous pulmonary valve implantation (PPVI) was done after a challenging prestenting. A 32 mm Myval valve over sized to 35 mm was used for PPVI with a good result. Discussion 32 mm Myval valve is effective to extend the possibilities of PPVI in large and tortuous RVOT not accessible for the other valves