Transcatheter aortic valve-in-valve implantation in right ventricle-aorta conduit in an adult patient with Fontan circulation

Nederend, M.; Kley, F. van der; Regeer, M.V.; Bökenkamp, R.; Weger, A. de; Jongbloed, M.R.M.; Egorova, A.D.

doi:doi:10.1016/j.ijcchd.2023.100476

Persistent URL of this record https://hdl.handle.net/1887/3736689

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Scholarly Publications

Nederend, M.; Kley, F. van der; Regeer, M.V.; Bökenkamp, R.; Weger, A. de; Jongbloed, M.R.M.; Egorova, A.D. (2023)

Transcatheter aortic valve-in-valve implantation in right ventricle-aorta conduit in an adult patient with Fontan circulation

Article / Letter to editor

Catheter interventions can offer patient tailored solutions in high-risk congenital heart disease patients. A 21-year-old male with a Fontan circulation in the setting of unbalanced atrioventricular septal defect with a hypoplastic left ventricle and an Show moreCatheter interventions can offer patient tailored solutions in high-risk congenital heart disease patients. A 21-year-old male with a Fontan circulation in the setting of unbalanced atrioventricular septal defect with a hypoplastic left ventricle and an aortic homograft connecting the right ventricular outflow tract to the ascending aorta, developed failure of the heavily calcified homograft with severe regurgitation and stenosis. He underwent three sequential transcatheter aortic valve-in-valve implantations to address the homograft failure and the subsequent paravalvular regurgitation, with satisfactory result and improved hemodynamics.Show less

Fontan circulation

TAVI

Adult congenital heart disease

Valve-in-valve

Single ventricle physiology

Catheter intervention