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Journal of Structural Heart Disease, August 2017, Volume 3, Issue 4:128-134
DOI: 10.12945/j.jshd.2017.005.17
Transcatheter Retrograde Device Closure of an Isolated Pulmonary Valve Stump Using a Deflectable Sheath Technique
John F. Rhodes, MD1, Amanda S. Green, FNP-C1, Robert D.B. Jaquiss, MD2
1 Miami Children’s Health System, Department of Cardiology, Miami, FL, USA
2 University of Texas Southwestern Medical Center, Department of Cardiovascular & Thoracic Surgery, Dallas, Texas, USA
Abstract
Patients with a single ventricular heart physiology may have a persistent egress through one of the semilunar valves that was surgically closed during the palliative operations. This semi lunar patency results in a blind ending pulmonary artery stump. Consequently, the patient is at risk for thrombus that can then result in a paradoxical embolic event and potentially an ischemic stroke. Patients therefore must undergo a reoperation to close the stump or remain on anticoagulation for lifetime. This report demonstrates the use of a retrograde arterial approach and a deflectable delivery sheath to obliterate the proximal pulmonary valve with a vascular device.
Cite this article as: Rhodes JF, Green AS, Jaquiss RD. Transcatheter Retrograde Device Closure of an Isolated Pulmonary Valve Stump Using a Deflectable Sheath Technique. Structural Heart Disease 2017;3(4):128-134. DOI: 10.12945/j.jshd.2017.005.17
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Case Reports
Journal of Structural Heart Disease, August 2017, Volume 3, Issue 4:128-134
DOI: 10.12945/j.jshd.2017.005.17
Transcatheter Retrograde Device Closure of an Isolated Pulmonary Valve Stump Using a Deflectable Sheath Technique
John F. Rhodes, MD1, Amanda S. Green, FNP-C1, Robert D.B. Jaquiss, MD2
1 Miami Children’s Health System, Department of Cardiology, Miami, FL, USA
2 University of Texas Southwestern Medical Center, Department of Cardiovascular & Thoracic Surgery, Dallas, Texas, USA
Abstract
Patients with a single ventricular heart physiology may have a persistent egress through one of the semilunar valves that was surgically closed during the palliative operations. This semi lunar patency results in a blind ending pulmonary artery stump. Consequently, the patient is at risk for thrombus that can then result in a paradoxical embolic event and potentially an ischemic stroke. Patients therefore must undergo a reoperation to close the stump or remain on anticoagulation for lifetime. This report demonstrates the use of a retrograde arterial approach and a deflectable delivery sheath to obliterate the proximal pulmonary valve with a vascular device.
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Cite this article as: Rhodes JF, Green AS, Jaquiss RD. Transcatheter Retrograde Device Closure of an Isolated Pulmonary Valve Stump Using a Deflectable Sheath Technique. Structural Heart Disease 2017;3(4):128-134. DOI: 10.12945/j.jshd.2017.005.17
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