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Updated: Feb 13, 2026
10:56
Transplantation of Pulmonary Valve Using a Mouse Model of Heterotopic Heart Transplantation
Published on: July 23, 2014
19.4K
Anesthesia for Percutaneous Pulmonary Valve Implantation: A Case Series
Rafael Arboleda Salazar1, Jane Heggie1, Piotr Wolski2
1From the Department of Anesthesia, University Health Network, Toronto General Hospital, Toronto, Ontario, Canada.
Anesthesia and Analgesia
|March 16, 2018
Summary
Transcatheter pulmonary valve replacement (TPVR) is a safe alternative for adults with congenital heart disease. Perioperative anesthetic management is key for successful outcomes in these complex patients.
Area of Science:
- Cardiology
- Anesthesiology
- Congenital Heart Disease
Background:
- Congenital heart disease affects 20% of patients with right ventricular outflow tract abnormalities.
- Transcatheter pulmonary valve replacement (TPVR) offers an alternative to surgery for pulmonary valve and right ventricular outflow tract issues.
- This review focuses on the perioperative management of adult TPVR patients.
Purpose of the Study:
- To analyze the perioperative management of adult patients undergoing TPVR.
- To identify key anesthetic considerations for TPVR procedures.
Main Methods:
- Retrospective chart review of adult TPVR patients (2006-2015).
- Data collected on preoperative, intraoperative, and postoperative management.
- Analysis of anesthetic techniques and complications.
Main Results:
- Seventy-nine adult patients underwent elective TPVR.
- General anesthesia with endotracheal intubation was used in all cases.
- High success rate with 85% extubated post-procedure; complications included bradycardia, hemoptysis, and deployment failures.
Conclusions:
- TPVR patients are complex and require specialized care.
- General anesthesia with endotracheal intubation is preferred.
- Anesthesiologists with cardiac expertise are recommended for managing TPVR patients.
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