© 2015 Wiley Periodicals, Inc.

Catheterization and Cardiovascular Interventions DOI 10.1002/ccd

Published on behalf of The Society for Cardiovascular Angiography and Interventions (SCAI)

Implantation of a 29 mm Sapien XT Valve in a Pediatric Patient With an Unstented Right Ventricular Outflow Tract



Abraham Rothman, MD, Alvaro Galindo, MD, and William N Evans, MD



ChildrenŐs Heart Center Nevada, 3006 S Maryland Pkwy, Ste 690, Las Vegas, Nevada 89109, USA. Email: wnevans50@aol.com.



Transcatheter pulmonary-valve implantation has revolutionized therapy for right ventricular outflow tract dysfunction. Bonhoffer et al were the first to describe implantation of a stented bovine jugular venous valve in animals [1] and humans [2,3]. Since then, the Melody valve has been implanted in thousands of patients with pulmonary homograft dysfunction [4]. The Edwards-Sapien valve, originally designed for aortic valve dysfunction, has also been utilized in patients with pulmonary valve dysfunction, with or without a

homograft [5–7]. Until recently, only 23 and 26 mm Sapien valves were available. Edwards Lifesciences (Irvine, CA) recently received approval for the use of lower profile Sapien XT valves, including a 29-mm valve. In this report, we describe implantation of a 29 mm Sapien XT valve in the pulmonary position of a pediatric patient, using a new low-profile sheath and delivery system.


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