Stent strut breakage using high-pressure balloons for bifurcation stenting and subsequent percutaneous pulmonary valve replacement using the Edwards Sapien THV

Authors

  • Roberto Violini MD,

    1. Department of Interventional Cardiology, Azienda Ospedaliera S. Camillo Forlanini, Rome, Italy
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  • Ugo Vairo MD,

    1. Department of Pediatric Cardiology, Azienda Ospedaliero-Universitaria Policlinico, Ospedale Pediatrico, Giovanni XXIII-Bari, Italy
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  • Ziyad M. Hijazi MD, MPH, FSCAI

    Corresponding author
    1. Rush Center for Congenital and Structural Heart Disease, Rush University Medical Center, Chicago, Illinois
    • Correspondence to: Ziyad M. Hijazi, MD, MPH, FSCAI, Rush Center for Congenital and Structural Heart Disease, Rush University Medical Center, 1653 West Congress Parkway, Chicago, IL 60612. E-mail: zhijazi@rush.edu

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  • Conflict of interest: Nothing to report.

Abstract

This report describes the use of the Edwards Sapien THV in a patient who had a short regurgitant/stenotic homograft with early bifurcation stenoses of the pulmonary arteries. A 48-mm AndraStent was positioned in the right pulmonary artery-homograft jailing the left pulmonary artery (LPA). To have an unobstructed access to the LPA, the stent strut leading to the LPA was broken using high-pressure balloon. A 23-mm Edwards Sapien THV was positioned in the stented homograft just proximal to the LPA origin with resolution of the stenosis and regurgitation. © 2012 Wiley Periodicals, Inc.

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