Document Detail


Delayed improvement in valve hemodynamic performance after percutaneous pulmonary valve implantation.
MedLine Citation:
PMID:  18442588     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the case of a 21-year-old woman with a severely stenotic pulmonary homograft who underwent percutaneous pulmonary valve implantation, with no significant change in transvalvular gradient within the 24 hours after the procedure. Major improvement in hemodynamic valve performance of more than 60% decrease in transvalvular gradient and more than 30% increase in pulmonary valve area was observed 3 months after the procedure, showing that hemodynamic improvement can occur late after pulmonary valve implantation. An echocardiogram after 3 months should be done before concluding the procedure failed and that reintervention is necessary.
Authors:
Josep Rodés-Cabau; Christine Houde; Jean Perron; Lee N Benson; Philippe Pibarot
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  85     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-29     Completed Date:  2008-05-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1787-8     Citation Subset:  AIM; IM    
Affiliation:
Québec Heart Institute-Laval Hospital, Québec City, Québec, Canada. josep.rodes@crhl.ulaval.ca
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MeSH Terms
Descriptor/Qualifier:
Adult
Angioplasty / methods*
Angioplasty, Balloon / methods
Bioprosthesis*
Calcinosis / physiopathology,  surgery
Echocardiography, Doppler
Exercise Test
Female
Follow-Up Studies
Heart Valve Prosthesis*
Hemodynamics / physiology*
Humans
Postoperative Complications / physiopathology,  surgery*
Prosthesis Design
Prosthesis Failure*
Pulmonary Valve Stenosis / surgery*
Reoperation / methods
Surgical Procedures, Minimally Invasive*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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