Transcatheter atrioventricular valve-in-valve implantation for Fontan circulation and dextrocardia

Interact Cardiovasc Thorac Surg. 2019 Mar 1;28(3):496-498. doi: 10.1093/icvts/ivy273.

Abstract

Transcatheter heart valve-in-valve implantation in failed surgical bioprosthetic valves has shown promising outcomes, prompting the stepwise expansion of their applications in different clinical scenarios. Recently, there is increased interest in valve-in-valve techniques for the treatment of patients with complex congenital heart disease. Herein, we report a case of successful transapical transcatheter atrioventricular valve-in-valve implantation in a patient with Fontan circulation and dextrocardia. The patient was previously treated with total cavopulmonary connection and atrioventricular valve replacement with recurrent prosthesis dysfunction.

Keywords: Atrioventricular valve replacement; Dextrocardia; Fontan circulation; Total cavopulmonary connection; Transcatheter valve-in-valve implantation.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bioprosthesis*
  • Cardiac Catheterization / methods*
  • Dextrocardia / diagnosis
  • Dextrocardia / surgery*
  • Female
  • Fontan Procedure / methods*
  • Heart Valve Diseases / diagnosis
  • Heart Valve Diseases / surgery*
  • Heart Valve Prosthesis Implantation / methods*
  • Heart Valves / surgery*
  • Humans
  • Prosthesis Design
  • Tomography, X-Ray Computed