Please use this identifier to cite or link to this item: https://doi.org/10.11622/smedj.2018141
Title: Percutaneous pulmonary valve implantation as an alternative to repeat open-heart surgery for patients with pulmonary outflow obstruction: a reality in Singapore
Authors: Tay, Lik Wui Edgar 
Yip, Wei Luen James 
Low, Ting Ting 
Yip, Chin Ling William 
Kong, Kok Fai William
Yeo, Tiong Cheng 
Tan, Huay Cheem 
Quereshi, Shakeel Ahmed
Quek, Swee Chye 
Keywords: Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
percutaneous pulmonary valve implantation
pulmonary outflow obstruction
RIGHT-VENTRICLE
INFECTIVE ENDOCARDITIS
RISK-FACTORS
REPLACEMENT
OUTCOMES
CONDUIT
DISEASE
STENT
Issue Date: 1-May-2019
Publisher: SINGAPORE MEDICAL ASSOC
Citation: Tay, Lik Wui Edgar, Yip, Wei Luen James, Low, Ting Ting, Yip, Chin Ling William, Kong, Kok Fai William, Yeo, Tiong Cheng, Tan, Huay Cheem, Quereshi, Shakeel Ahmed, Quek, Swee Chye (2019-05-01). Percutaneous pulmonary valve implantation as an alternative to repeat open-heart surgery for patients with pulmonary outflow obstruction: a reality in Singapore. SINGAPORE MEDICAL JOURNAL 60 (5) : 260-264. ScholarBank@NUS Repository. https://doi.org/10.11622/smedj.2018141
Abstract: Right ventricle to pulmonary artery (RV-PA) conduits have been used for the surgical repair of congenital heart defects. These conduits frequently become stenosed or develop insufficiency with time, necessitating reoperations. Percutanous pulmonary valve implantation (PPVI) can delay the need for repeated surgeries in patients with congenital heart defects and degenerated RV-PA conduits. We presented our first experience with PPVI and described in detail the procedural methods and the considerations that are needed for this intervention to be successful. Immediate and short-term clinical outcomes of our patients were reported. Good haemodynamic results were obtained, both angiographically and on echocardiography. PPVI provides an excellent alternative to repeat open-heart surgery for patients with congenital heart defects and degenerated RV-PA conduits. This represents a paradigm shift in the management of congenital heart disease, which is traditionally managed by open-heart surgery. © Singapore Medical Association
Source Title: SINGAPORE MEDICAL JOURNAL
URI: https://scholarbank.nus.edu.sg/handle/10635/208957
ISSN: 00375675
DOI: 10.11622/smedj.2018141
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