A case report of a complicated fatal percutaneous valve implantation

Abstract

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.

Citation: Sampaio A, Norte G, Godinho L, Raimundo A, Cuervo M. A case report of a complicated fatal percutaneous valve implantation. Anaesth pain & intensive care 2019;23(4)__

Received: 24 September 2019, Reviewed: 24, 26 October 2019, Accepted: 22 November 2019