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Dehiscence of a pulmonary bioprosthesis with a focal dissection of the pulmonary artery in a patient with congenital pulmonic stenosis
Author(s) -
Yucel Evin,
Bhatt Ami,
Mihos Christos G.,
Ghoshhajra Brian B.,
DeFaria Yeh Doreen
Publication year - 2017
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13502
Subject(s) - medicine , pulmonic stenosis , dehiscence , cardiology , dissection (medical) , stenosis , pulmonary valve , pulmonary artery , surgery , regurgitation (circulation) , pulmonary valve stenosis , tetralogy of fallot , heart disease
Pulmonary valve replacement ( PVR ) is the most common adult congenital cardiac operation performed. Valve degeneration leading to prosthetic stenosis and/or regurgitation is a long‐term risk in this population and may be associated with paravalvular leak ( PVL ). Complications involving the proximal pulmonary artery, including dissection, are less clearly defined. Herein, we report the case of a 30‐year‐old patient with a history of multiple pulmonary valve interventions secondary to congenital pulmonic stenosis, who developed dehiscence of a bioprosthetic PVR associated with significant paravalvular leak ( PVL ) and further complicated by a focal dissection of the proximal pulmonary artery.