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Contained rupture of patched right ventricular outflow tracts during balloon sizing for percutaneous pulmonary valve implantation
Author(s) -
Boe Brian A.,
Bocks Martin L.,
Armstrong Aimee K.
Publication year - 2016
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.26094
Subject(s) - medicine , balloon , pulmonary valve , cardiology , percutaneous , ventricular outflow tract , outflow , right heart , physics , meteorology
Transcatheter pulmonary valves are being used off‐label to treat pulmonary insufficiency in patched right ventricular outflow tracts (RVOTs). We describe the first reported cases of patched RVOT rupture, during balloon sizing for percutaneous pulmonary valve implantation, in two patients with tetralogy of Fallot status post repair. Both RVOTs were too large for subsequent catheter‐based intervention. The ruptures remained stable over time, and both patients were managed conservatively with follow‐up imaging. © 2015 Wiley Periodicals, Inc.