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Intravascular ultrasound guidance for intentional fracture of failed bioprosthetic valve frame prior to valve-in-valve transcatheter pulmonary valve replacement

DOI: 10.4244/EIJ-D-20-00427

1. National Institute of Cardiology, Warsaw, Poland, Poland
2. Institute of Cardiology, Warsaw, Poland, Departmen of Coronary and Structural Heart Diseases, Warsaw, Department of Coronary and Structural Heart Diseas, Poland
3. Cardiovascular Research Foundation, NY, USA

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A 28-year-old male with Tetralogy of Fallot underwent total correction at the age of five with transannular patch of the pulmonary valve and 15 years later had an Ø23mm Edwards Magna bioprosthesis (Edwards Lifesciences, Irvine, CA) inserted at the pulmonary position due to pulmonary valve insufficiency. He was scheduled for valve-in-valve transcatheter pulmonary valve replacement (TPVR) due to symptomatic bioprosthesis dysfunction (insufficiency and stenosis). 

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