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Transcatheter stent-valve implantation in a stenotic pulmonary conduit via a sub-xyphoidian access

Ferrari, Enrico ; Sulzer, Christopher ; Rizzo, Elena ; von Segesser, Ludwig Karl

In: European Journal of Cardio-Thoracic Surgery, 2009, vol. 36, no. 3, p. 595-597

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    Title
    • Transcatheter stent-valve implantation in a stenotic pulmonary conduit via a sub-xyphoidian access
    Author
    • Ferrari, Enrico. Department of Cardiovascular Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland
    • Sulzer, Christopher. Department of Anaesthesia, University Hospital of Lausanne (CHUV), Lausanne, Switzerland
    • Rizzo, Elena. Department of Radiology, University Hospital of Lausanne (CHUV), Lausanne, Switzerland
    • von Segesser, Ludwig Karl. Department of Cardiovascular Surgery, University Hospital of Lausanne (CHUV), Lausanne, Switzerland
    Document Type
    • Postprint
    Language
    • English
    Published in
    • European Journal of Cardio-Thoracic Surgery, 2009, vol. 36, no. 3, p. 595-597. Elsevier Science B.V.
    Other Version
    OAI-PMH Identifier
    • oai:doc.rero.ch:291637
    Summary
    Patients who develop a severe stenosis in biological pulmonary conduits previously implanted for pulmonary outflow trunk reconstructions are treated either by surgical re-replacement, or by transcatheter stent-valve implantation through a femoral vein access. A catheter-based sub-xyphoidian access through the right ventricle for stent-valve positioning in a pulmonary conduit has rarely been proposed. We describe the case of a 20-year-old man who underwent a pulmonary trunk reconstruction for a congenital pulmonary valve dysplasia and a few years later developed a stenosis in the pulmonary conduit. He was successfully treated with a 23 mm Edwards Sapien© stent-valve implantation in pulmonary position, through an unusual right ventricular, sub-xyphoidian access and without contrast medium injections and pleura opening