Transcatheter pulmonary valve implantation: will it replace surgical pulmonary valve replacement?

Ahmed Kheiwa, Punag Divanji, Vaikom S. Mahadevan

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

Introduction: Right ventricular outflow tract (RVOT) dysfunction is a common hemodynamic challenge for adults with congenital heart disease (ACHD), including patients with repaired tetralogy of Fallot (TOF), truncus arteriosus (TA), and those who have undergone the Ross procedure for congenital aortic stenosis and the Rastelli repair for transposition of great vessels. Pulmonary valve replacement (PVR) has become one of the most common procedures performed for ACHD patients. Areas covered: Given the advances in transcatheter technology, we conducted a detailed review of the available studies addressing the indications for PVR, historical background, evolving technology, procedural aspects, and the future direction, with an emphasis on ACHD patients. Expert commentary: Transcatheter pulmonary valve implantation (TPVI) is widely accepted as an alternative to surgery to address RVOT dysfunction. However, current technology may not be able to adequately address a subset of patients with complex RVOT morphology. As the technology continues to evolve, new percutaneous valves will allow practitioners to apply the transcatheter approach in such patients. We expect that with the advancement in transcatheter technology, novel devices will be added to the TPVI armamentarium, making the transcatheter approach a feasible alternative for the majority of patients with RVOT dysfunction in the near future.

Original languageEnglish (US)
Pages (from-to)197-207
Number of pages11
JournalExpert Review of Cardiovascular Therapy
Volume16
Issue number3
DOIs
StatePublished - Mar 4 2018
Externally publishedYes

Keywords

  • Melody valve implantation
  • Right ventricular outflow tract dysfunction
  • Sapien valve implantation
  • tetralogy of Fallot
  • transcatheter pulmonary valve implantation

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

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