Cardiac Arrest Secondary to Traumatic Aortopulmonary Window During Transcatheter Pulmonary Valve Implantation in Supported Ross

Vasutakarn Chongthammakun; Michael E Mitchell; Todd M Gudausky; Peter J Bartz; Susan R Foerster

doi:10.1016/j.jaccas.2019.10.017

Cardiac Arrest Secondary to Traumatic Aortopulmonary Window During Transcatheter Pulmonary Valve Implantation in Supported Ross

JACC Case Rep. 2019 Dec 18;1(5):746-750. doi: 10.1016/j.jaccas.2019.10.017.

Authors

Vasutakarn Chongthammakun¹, Michael E Mitchell¹, Todd M Gudausky¹, Peter J Bartz¹, Susan R Foerster¹

Affiliation

¹ Herma Heart Institute, Children's Hospital of Wisconsin and Medical College of Wisconsin, Milwaukee, Wisconsin.

Abstract

We present a patient with a supported Ross procedure and severe pulmonary homograft stenosis who developed cardiac arrest while undergoing transcatheter pulmonary valve replacement and was found to have a large iatrogenic aortopulmonary window. Cardiopulmonary resuscitation was initiated followed by covered stent placement, extracorporeal membrane oxygenation support, and ultimately emergent surgery with a good outcome. (Level of Difficulty: Advanced.).

Keywords: AP, aortopulmonary; RV-PA, right ventricle–to–pulmonary artery; RVOT, right ventricular outflow tract; TPVR, transcatheter pulmonary valve replacement; complications; endovascular procedures; fistula; heart valve diseases; heart valve prosthesis implantation; pulmonary valve.

Publication types

Case Reports