An unusual case of coronary artery compression that did not preclude successful transcatheter pulmonary valve placement

Matthew C Schwartz; Donald Felix; Karen Iacono; David Nykanen

doi:10.1002/ccd.27631

An unusual case of coronary artery compression that did not preclude successful transcatheter pulmonary valve placement

Catheter Cardiovasc Interv. 2018 Jul;92(1):88-91. doi: 10.1002/ccd.27631. Epub 2018 Apr 16.

Authors

Matthew C Schwartz^{1

2}, Donald Felix³, Karen Iacono³, David Nykanen³

Affiliations

¹ Division of Pediatric Cardiology, Sanger Heart and Vascular Institute, Charlotte, North Carolina.
² Levine Children's Hospital, Charlotte, North Carolina.
³ The Heart Center, Arnold Palmer Hospital for Children, Orlando, Florida.

PMID: 29659133
DOI: 10.1002/ccd.27631

Abstract

During transcatheter pulmonary valve placement, coronary compression observed during simultaneous right ventricular outflow tract angioplasty and coronary angiography typically contraindicates valve implantation. We present a unique patient with tetralogy of Fallot who underwent successful transcatheter Melody valve placement despite coronary compression observed during right ventricular outflow tract balloon angioplasty.

Keywords: congenital heart disease pediatrics; coronary anomaly; transcatheter valve implantation.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Balloon Valvuloplasty
Cardiac Catheterization / instrumentation
Cardiac Catheterization / methods*
Coronary Angiography
Coronary Circulation
Coronary Vessel Anomalies / complications*
Coronary Vessel Anomalies / diagnostic imaging
Coronary Vessel Anomalies / physiopathology
Female
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation / instrumentation
Heart Valve Prosthesis Implantation / methods*
Humans
Prosthesis Design
Pulmonary Circulation
Pulmonary Valve Stenosis / complications
Pulmonary Valve Stenosis / diagnostic imaging
Pulmonary Valve Stenosis / physiopathology
Pulmonary Valve Stenosis / surgery*
Severity of Illness Index
Tetralogy of Fallot / complications
Tetralogy of Fallot / diagnostic imaging
Tetralogy of Fallot / physiopathology
Tetralogy of Fallot / surgery*
Treatment Outcome
Young Adult