Case Report
Retrograde Transcatheter Perforation in Adult with Pulmonary Atresia and Single Ventricle: A Unique Case of Ventricular Outflow Tract Opening
Nicolas Hugues*, Bruno Vare, Carine Dommerc and François Bourlon
Centre Cardio-Thoracique de Monaco, Monaco
Nicolas Hugue, Centre Cardio-Thoracique de Monaco, Monaco.
Received Date:May 07, 2021; Published Date:May 25, 2021
Abstract
Radiofrequency-assisted perforation and subsequent balloon dilatation technique is accepted for treating pulmonary stenosis and pulmonary atresia in patients with intact interventricular septum, but its high cost limits the widespread use. Perforation of the atretic pulmonary valve using the stiff end of a coronary wire seems to be an effective alternative to the radiofrequency perforation. We report on a 47-year-old man with a complex cardiopathy including a pulmonary valve atresia, who underwent a partial surgical repair. Due to high surgical risk, a completion could not be foreseen and a percutaneous retrograde perforation of the pulmonary valve was proposed. The perforation was managed by means of BMW wires with stiff tip from the right internal jugular vein because the femoral vein access was not accesible. Following three Armada balloon inflations, an Express stent was properly introduced to keep the ventricular outflow tract (VOT) open. We describe a successful unusual technique of atretic pulmonary valve percutaneous retrograde perforation that can be an efficient alternative when surgery or anterograde percutaneous access are not possible.
Keywords:Transcatheter perforation; Ventricular outflow tract; Coronary guidewire; Atretic pulmonary valve; Stenting; Double outlet ventricle
Abbreviations:PAIVS: Pulmonary Atresia with Intact interVentricular Septum; VOT: Ventricular Outflow Tract; BMW: Balance Middle Weight; CTO: Chronic Total Occlusion; MRI: Magnetic Resonance Imaging
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Nicolas Hugues, Bruno Vare, Carine Dommerc, François Bourlon. Retrograde Transcatheter Perforation in Adult with Pulmonary Atresia and Single Ventricle: A Unique Case of Ventricular Outflow Tract Opening. On J Cardio Res & Rep. 5(2): 2021. OJCRR.MS.ID.000610.