Left Atrial Hypertension and Respiratory Failure Requiring Venoarterial ECMO After Transcatheter Pulmonary Valve Replacement

Conor P O'Halloran; Jeremy Fox; Sandhya R Ramlogan; Andrew De Freitas; Alan W Nugent; Paul Tannous

doi:10.1016/j.jaccas.2023.102125

Left Atrial Hypertension and Respiratory Failure Requiring Venoarterial ECMO After Transcatheter Pulmonary Valve Replacement

JACC Case Rep. 2023 Nov 9:28:102125. doi: 10.1016/j.jaccas.2023.102125. eCollection 2023 Dec 20.

Authors

Conor P O'Halloran¹, Jeremy Fox¹, Sandhya R Ramlogan¹, Andrew De Freitas¹, Alan W Nugent¹, Paul Tannous¹

Affiliation

¹ Division of Pediatric Cardiology, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.

Abstract

A 33-year-old woman with aortic valve stenosis status-post Ross at age 6 years developed symptomatic right heart failure from right ventricle to pulmonary artery conduit stenosis. Conduit rehabilitation and transcatheter pulmonary valve replacement resulted in acute left atrial hypertension and respiratory failure requiring venoarterial extracorporeal membrane oxygenation and atrial septal defect creation as a bridge to recovery.

Keywords: diastolic heart failure; pulmonary edema; pulmonic valve; valve replacement.

Publication types

Case Reports