ArticleJACC. Case reports2026
Transcatheter Pulmonary Valve Replacement in an Extra-Large RVOT Using a Custom-Made Pulmonary Valve.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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10 authors.
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Abstract
backgroundTranscatheter pulmonary valve replacement (TPVR) offers a less invasive alternative to surgical pulmonary valve replacement in patients with severe pulmonary regurgitation after tetralogy of Fallot repair. However, a complex right ventricular outflow tract (RVOT) anatomy can prevent the use of conventional TPVR devices. CASE SUMMARY: We report a patient with tetralogy of Fallot and a hypoplastic left pulmonary artery who had undergone transannular patch repair and developed severe pulmonary regurgitation. Imaging revealed an excessively dilated, aneurysmal RVOT, precluding the use of available TPVR systems. DISCUSSION: A customized self-expandable endovascular graft system was created by incorporating a tailored pulmonary valve with fenestration for the left pulmonary artery. Preprocedural planning used multimodality imaging and three-dimensional printing for simulation. This is to our knowledge the first report of a patient-specific, custom-made TPVR system successfully used in a patient with a large, complex RVOT. TAKE-HOME MESSAGES: Careful assessments of RVOT morphology, branch pulmonary artery anatomy, and coronary relationships are essential for planning. This approach expands treatment options for anatomies unsuitable for standard TPVR devices.
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