A case report of a complicated fatal percutaneous valve implantation | [Anaesthesia, Pain and Intensive Care • 2019]

Author(s):

1. Ana Sampaio: Anesthesiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal

2. Gustavo Norte: Anesthesiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal

3. Liliane Godinho: Anesthesiology Department, Centro Hospitalar e Universitário de Coimbr, (Portugal

4. Ana Raimundo: Anesthesiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal

5. Manuel Cuervo: Anesthesiology Department, Centro Hospitalar e Universitário de Coimbra, Portugal

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 asan alternative to surgical correction. Although it is largely considered a safe procedure, life-threatening complications can happen and institutions must beable 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 abioprosthetic valve was surgically implanted in the correct position.This case emphasizes the need of prompt cardiac surgery support and thereadiness of the anesthesia team to deal with emergency open cardiac surgery

Page(s): 398-400

DOI: 10.35975/apic.v23i4.1174

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 23, Issue: 4, Year: 2019

Keywords:

Cardiac Pulmonary Surgical Procedures , Heart Valve Prosthesis Implantation , Pulmonary Valve

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