Rescue surgery following percutaneous pulmonary valve implantation☆☆☆

• DOI: 10.1016/j.ejcts.2007.12.034
• Publication Date: 2008-02-06T14:13:05Z
• Authors: Martin Kostolny; Victor Tsang; Johannes Nordmeyer; Carin Van Doorn; Alessandra Frigiola; Sachin Khambadkone; Marc R. de Leval; Philipp Bonhoeffer
• Keywords: Ventricular outflow tract; Pulmonary valve; Emergency Surgery

Objective: Percutaneous pulmonary valve insertion (PPVI) is an evolving alternative to surgical insertion. The aim of this study review the acute complications PPVI requiring emergency rescue surgery. Patients and methods: Between 09/2000 01/2007, 152 patients (pts), received a PPVI. Patient's charts were reviewed in retrospect. Results: Emergency surgery (ERS) took place 6 pts (3.9%). Indications for ERS were: homograft rupture two pts, dislodgment stented dilated right ventricular outflow tract occlusion artery one pt compression left main coronary pt. Cardiopulmonary bypass was established through repeat sternotomy incision with femorofemoral cannulation 2/6 pts. removed five replaced three valved conduit One ruptured repaired leaving situ. All survived, sustained mild neurological impairment. Conclusion: Although some probably related learning curve (4 among first 50 2 last 102 patients) need unlikely be completely abolished. This experience highlights importance close collaboration between cardiologists surgeons these technologies. Highly skilled responsive back up necessary support introduction sustain institutional programmes such as