Transcatheter Pulmonary Valve Implantation in Repaired Tetralogy of Fallot and Anomalous Left Coronary Artery Origin

Alice Moroni; Luca Giugno; Francesco Sturla; Omar Alessandro Oliva; Mario Carminati

doi:10.1016/j.jaccas.2024.102247

Transcatheter Pulmonary Valve Implantation in Repaired Tetralogy of Fallot and Anomalous Left Coronary Artery Origin

JACC Case Rep. 2024 Feb 18;29(6):102247. doi: 10.1016/j.jaccas.2024.102247. eCollection 2024 Mar 20.

Authors

Alice Moroni^{1

2}, Luca Giugno¹, Francesco Sturla^{3

4}, Omar Alessandro Oliva^{1

2}, Mario Carminati¹

Affiliations

¹ Pediatric and Adult Congenital Heart Center, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
² Department of Cardiology, IRCCS Policlinico San Donato, University of Milan, San Donato Milanese, Milan, Italy.
³ 3D and Computer Simulation Laboratory, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
⁴ Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy.

Abstract

We describe a rare and extremely challenging case of transcatheter pulmonary valve implantation in repaired tetralogy of Fallot and anomalous origin of the left main coronary artery from the right coronary sinus. Procedural planning based on advanced multimodality imaging and 3-dimensional technology proved to be the key to procedural success.

Keywords: coronary anomalies; multimodality imaging; percutaneous pulmonary valve implantation; repaired tetralogy of Fallot.