A case report of a complicated fatal percutaneous valve implantation

Anaesthesia, Pain & Intensive Care

ARTICLE

AnaSampaio¹  Gustavo Norte¹  Liliane Godinho¹  Ana Raimundo¹  Manuel Cuervo¹ 

[1] Anesthesiology Department, Centro Hospitalar e Universitário de Coimbra

关键词: Pulmonary Valve;    Heart Valve Prosthesis Implantation;    Cardiac Surgical Procedures;   

DOI  :  10.35975/apic.v23i4.1174

学科分类：社会科学、人文和艺术（综合）

来源: THK

【 摘 要 】

Pulmonary valve dysfunction, also called right ventricle outflow tract dysfunction, is one of the known anomalies in patients with congenital heart disease. Percutaneous pulmonary valve implantation (PPVI) has been developed as an alternative to surgical correction. Although it is largely considered a safe procedure, life-threatening complications can happen and institutions must be able to resolve these immediately and adequately. We present a case of pulmonary valve migration to the right ventricle during a PPVI. This complication needed immediate cardiac surgery due to resulting hemodynamic instability. The percutaneous valve prosthesis was removed and a bioprosthetic valve was surgically implanted in the correct position. This case emphasizes the need of prompt cardiac surgery support and the readiness of the anesthesia team to deal with emergency open cardiac surgery.

【 授权许可】

CC BY-NC