FEBRUARY 2004 I ENDOVASCULAR TODAY I 31 D uring the last 2 decades, percutaneous endovascular therapies have revolutionized the treatment of coronary artery disease. However, the development and dissemination of percutaneous approaches to heart valve disease have been less rapid. Whereas rheumatic mitral stenosis and congenital aortic stenosis are effectively managed by balloon valvuloplasty in...

Background Cardiac MRI is used to measure right ventricular end diastolic volume indexed to body surface area (RVEDVi) and ejection fraction (EF) in the setting of pulmonary insufficiency (PI). There is data describing optimum RVEDVi, in tetralogy of fallot (TOF) patients, to provide a competent pulmonary valve and maintain long term RV function. Pulmonary atresia with intact ventricular septum...

BACKGROUND AND AIM OF THE STUDY Aortic valve disease can be treated successfully by means of the Ross operation. Alternatives to pulmonary valve replacement with homografts are needed. The study aim was to demonstrate the performance of a decellularized porcine xenograft valve (Matrix P) in adult patients after the Ross operation. METHODS Between July 2002 and May 2004, a total of 50 Ross ope...

The Ross operation, a procedure of replacement of the diseased aortic valve with an autologous pulmonary valve, has many advantages such as no need for anticoagulation therapy and similar valve function and growth potential as native valves. However secondary aortic disease has emerged as a significant complication and indication for reoperation. We report a 48-year-old woman who had Ross opera...

Although transcatheter pulmonary valve replacement using the Melody valve (Medtronic Inc, Minneapolis, MN) has become widely adopted, it has only been formally studied in patients with right ventricle–to–pulmonary artery conduits 22 mm in diameter.1,2 Such patients compose only a small proportion of individuals with right ventricular outflow tract (RVOT) dysfunction, and there is interest and p...

Although transcatheter pulmonary valve replacement using the Melody valve (Medtronic Inc, Minneapolis, MN) has become widely adopted, it has only been formally studied in patients with right ventricle–to–pulmonary artery conduits 22 mm in diameter.1,2 Such patients compose only a small proportion of individuals with right ventricular outflow tract (RVOT) dysfunction, and there is interest and p...

etralogy of Fallot with or without pulmonary atresia ccounts for approximately 10% of all forms of congenital eart disease. Establishing unobstructed blood flow between he right ventricle (RV) and the confluence of the pulmoary arteries using the transannular patch technique or via he insertion of an interposition graft valve between the RV nd pulmonary artery have been the main surgical option...

there is a paucity of literature regarding iatrogenic aortic valve perforation after cardiac operation is performed in the vicinity of the aortic valve. this report describes the clinical, echocardiographic, and angiocardiographic recognition of iatrogenic aortic valve perforation in a patient who had previously under gone membranous ventricular septal defect and pulmonary stenosis. five days a...