Edwards Sapien XT® pulmonic valve compression after resuscitation and successful redilatation

Catheter Cardiovasc Interv. 2018 Sep 1;92(3):522-525. doi: 10.1002/ccd.27644. Epub 2018 May 18.

Abstract

Despite the increasing use of percutaenous valves, little is known about valve performance after external chest compression. We report a case of a compressed pulmonary Edwards Sapien® XT valve after resuscitation. With the patient on ECMO, successful redilatation was performed with unimpaired postprocedural valve function. We aim to increase the awareness for valve distortion after external chest compression with increasing numbers of transcatheter valvulations. We suggest that immediate re-evaluation of the implanted device via biplane fluoroscopy is mandatory after resuscitation in such cases.

Keywords: percutaneous pulmonary valve implantation; resuscitation; transcatheter valve distortion.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Balloon Valvuloplasty*
  • Cardiac Catheterization / instrumentation*
  • Cardiac Catheterization / methods
  • Cardiopulmonary Resuscitation / adverse effects*
  • Child
  • Coronary Angiography
  • Double Outlet Right Ventricle / diagnostic imaging
  • Double Outlet Right Ventricle / physiopathology
  • Double Outlet Right Ventricle / surgery*
  • Extracorporeal Membrane Oxygenation
  • Fatal Outcome
  • Heart Arrest / diagnosis
  • Heart Arrest / physiopathology
  • Heart Arrest / therapy*
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Heart Valve Prosthesis Implantation / methods
  • Heart Valve Prosthesis*
  • Hemodynamics*
  • Humans
  • Male
  • Prosthesis Design
  • Prosthesis Failure*
  • Pulmonary Valve / diagnostic imaging
  • Pulmonary Valve / physiopathology
  • Pulmonary Valve / surgery*
  • Recovery of Function
  • Treatment Outcome