Hybrid Approach for Off-Pump Pulmonary Valve Replacement in Patients With a Dilated Right Ventricular Outflow Tract.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 26522579.
- Also identified by DOI 10.1016/j.athoracsur.2015.02.124.
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Abstract
We describe a hybrid method for minimally invasive pulmonary valve replacement without the use of cardiopulmonary bypass in 3 patients with high surgical risk and dilated right ventricular outflow tracts incompatible with currently available transcatheter devices. This procedure entails surgical creation of a landing zone in the main pulmonary artery through an anterior thoracotomy, followed by transcatheter Melody valve pulmonary valve replacement. Particularly in high-risk patients, this approach may limit morbidity and mortality associated with traditional surgical pulmonary valve replacement.
Medical subject headings
- Heart Valve Prosthesis Implantation
- Minimally Invasive Surgical Procedures
- Pulmonary Valve
- Pulmonary Valve Insufficiency
- Surgery, Computer-Assisted
- Thoracotomy
- Ventricular Outflow Obstruction