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Early valve failure in a first-in-man implant with an Edwards SAPIEN XT valve using the split sheath NovaFlex system in the treatment of a pulmonary conduit stenosis

EuroIntervention 2013;9:768. DOI: 10.4244/EIJV9I6A124

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The patient is a 39-year-old female. She was initially diagnosed with a pulmonary valvular stenosis at the age of eight. At the age of 15, the systolic pulmonary gradient was measured at 70 mmHg by echocardiography and, in addition, there was an atrial septal defect (ASD) of the secundum type. She underwent cardiac surgery, during which the ASD was closed by direct suture technique, the pulmonary leaflets resected and the right ventricular outflow tract was enlarged by a transannular pericardial patch. In 2002 she was re-operated due to recurrence of symptoms with a 23 mm pulmonary homograft. Over time the homograft developed significant stenosis ...

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