Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Percutaneous Pulmonary Valve Implantation

  • Lee, Young-Seok (Division of Pediatric Cardiology, Department of Pediatrics, Dong-A University Hospital) ;
  • Lee, Hyoung-Doo (Heart Center, Pusan National University Children's Hospital)
  • Published : 2012.10.31
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Abstract

Pulmonary regurgitation (PR) is a frequent sequelae after repair of tetralogy of Fallot, pulmonary atresia, truncus arteriosus, Rastelli and Ross operation. Due to patient growth and conduit degeneration, these conduits have to be changed frequently due to regurgitation or stenosis. However, morbidity is significant in these repeated operations. To prolong conduit longevity, baremetal stenting in the right ventricular outflow tract (RVOT) obstruction has been performed. Stenting the RVOT can reduce the right ventricular pressure and symptomatic improvement, but it causes PR with detrimental effects on the right ventricle function and risks of arrhythmia. Percutaneous pulmonary valve implantation has been shown to be a safe and effective treatment for patients with pulmonary valve insufficiency, or stenotic RVOTs.

Keywords

References

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