Ventricular Fibrillation Arrest and Pulmonary Homograft Rupture During Transcatheter Pulmonary Valve: Successful Rescue by Heart Team
Abstract
We describe a 31-year-old woman with pulmonary homograft rupture and ventricular fibrillation arrest complicating a transcatheter pulmonary valve (TPV) procedure. She underwent extracorporeal membrane oxygenation (ECMO) with immediate surgical repair including bioprosthetic pulmonary valve replacement. She had difficulty weaning off ECMO due to hyperacute failure of the valve and ultimately underwent successful hybrid TPV with complete recovery. This case illustrates the importance of the heart team approach during catheter and surgical interventions in adult congenital heart disease.
© 2021 Lamees I El Nihum, Zhongyu Li, Mahesh Ramchandani, Michael J Reardon, Erik E Suarez, Thomas E MacGillivray, Valeria Duarte, C Huie Lin, published by Houston Methodist DeBakey Heart & Vascular Center
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