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Stent strut breakage using high‐pressure balloons for bifurcation stenting and subsequent percutaneous pulmonary valve replacement using the Edwards Sapien THV
Author(s) -
Violini Roberto,
Vairo Ugo,
Hijazi Ziyad M.
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.24654
Subject(s) - medicine , stent , stenosis , balloon , cardiology , pulmonary artery , percutaneous , regurgitation (circulation) , intravascular ultrasound , radiology
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.