Coronary artery compression in percutaneous pulmonary valve implantation: a case series
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Updated: Oct 31, 2026

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model
Published on: June 8, 2022
Rujira Buntharikpornpun1, Supaporn Roymanee1, Worakan Promphan2
1Division of Pediatric Cardiology, Department of Pediatrics, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Abstract:
Catastrophic complications of coronary artery compression after percutaneous pulmonary valve implantation (PPVI) are uncommon in patients with a dysfunctional native right ventricular outflow tract after Tetralogy of Fallot repair (rTOF). Nonetheless, we report three rTOFs with a high risk of compromising coronary blood flow for PPVI. This risk has been elucidated by multimodal assessments, including robust pre-procedural cardiac computed tomography and meticulous balloon interrogation with selective coronary angiography.

