Figure 1. Corresponding angiography and IVUS images of the RVOT anatomy, obtained sequentially during the intentional fracture of a 23 mm diameter Magna bioprosthesis (using an Atlas GOLD 24 mm at 18 atm) prior to valve-in-valve transcatheter pulmonary valve replacement with a 22 mm diameter Melody pulmonary valve.
A 28-year-old male with tetralogy of Fallot underwent total correction at the age of five with a transannular patch of the pulmonary valve. Fifteen years later, he had a 23 mm diameter Magna bioprosthesis (Edwards Lifesciences, Irvine, CA, USA) inserted at the pulmonary position due to pulmonary valve insufficiency. He was scheduled for valve-in-valve transcatheter ...
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