Consecutive percutaneous valve‐in‐valve replacement late after ross procedure: A novel approach in an adult with congenital heart disease

• Published in: Catheterization and cardiovascular interventions 2015-11, Vol.86 (6), p.1092-1096
• Main Authors: Wiktor, Dominik M., Kay, Joseph D., Kim, Michael S.
• Format: Article
• Language: English
• Subjects: Adult; Angiography - methods; Aortic Valve - abnormalities; Aortic Valve - diagnostic imaging; Aortic Valve - surgery; Aortic Valve Insufficiency - diagnostic imaging; Aortic Valve Insufficiency - therapy; Bicuspid Aortic Valve Disease; Cardiac Catheterization - methods; Cardiac Surgical Procedures - methods; Female; Follow-Up Studies; Heart Defects, Congenital - diagnosis; Heart Defects, Congenital - surgery; Heart Valve Diseases - congenital; Heart Valve Diseases - diagnostic imaging; Heart Valve Diseases - surgery; Humans; percutaneous pulmonary valve replacement; Pulmonary Valve Insufficiency - diagnostic imaging; Pulmonary Valve Insufficiency - therapy; Risk Assessment; Stents; structural heart disease intervention; Tomography, X-Ray Computed - methods; transcatheter aortic valve replacement; Treatment Outcome
• ISSN: 1522-1946; 1522-726X
• DOI: 10.1002/ccd.26114

The emergence of transcatheter valve technology over the last decade has made significant impact on the treatment of patients with valvular heart disease. There has been increasing experience with both native and valve‐in‐valve indications with promising results. We present the case of a young woman with congenital heart disease who underwent the Ross procedure for bicuspid aortic valve endocarditis with subsequent reoperation and surgical aortic valve replacement for neo‐aortic root dilation who experienced worsening symptoms related to both pulmonary and aortic valve dysfunction. She was successfully treated with percutaneous pulmonary and aortic valve replacement with excellent early term technical results and marked improvement in symptoms. © 2015 Wiley Periodicals, Inc.