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Off-Label Placement of a 26-mm SAPIEN S3 into an Alterra Adaptive Prestent to Avoid Coronary Compression
Namun S Srivastava1, John S Lozier1, Martin L Bocks1
1Division of Pediatric Cardiology, Department of Pediatrics, The Congenital Heart Collaborative, Case Western Reserve University School of Medicine, University Hospitals Rainbow Babies & Children's Hospital, Cleveland, Ohio.
None:
The Alterra Adaptive Prestent is approved for the treatment of patients with severe pulmonary regurgitation who have dilated native or surgically repaired right ventricle outflow tracts. This device provides a landing zone for transcatheter pulmonary valve replacement with a 29-mm SAPIEN 3 transcatheter heart valve. We present a case of transcatheter pulmonary valve replacement using a 26-mm SAPIEN S3 Ultra valve within the Alterra due to concern for coronary compression, with an excellent procedural outcome. This is the first reported case of placing a 26-mm SAPIEN transcatheter heart valve in the Alterra.
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