Intravascular Lithotripsy for Severe RVOT Calcification to Optimize Transcatheter Pulmonary Valve Replacement

Nabil Sabbak, MD; Kara Denby, MD; Anirudh Kumar, MD; Ghazaleh Goldar, MD; Joanna Ghobrial, MD

JACC: Case Reports (Aug 2023)

Intravascular Lithotripsy for Severe RVOT Calcification to Optimize Transcatheter Pulmonary Valve Replacement

Nabil Sabbak, MD,
Kara Denby, MD,
Anirudh Kumar, MD,
Ghazaleh Goldar, MD,
Joanna Ghobrial, MD

Affiliations

Nabil Sabbak, MD: Cleveland Clinic, Cleveland, Ohio, USA
Kara Denby, MD: Cleveland Clinic, Cleveland, Ohio, USA
Anirudh Kumar, MD: Cleveland Clinic, Cleveland, Ohio, USA
Ghazaleh Goldar, MD: Cleveland Clinic, Cleveland, Ohio, USA
Joanna Ghobrial, MD: Address for correspondence: Dr Joanna Ghobrial, Mail Code J2-4, 9500 Euclid Ave, Cleveland, OH 44195.; Cleveland Clinic, Cleveland, Ohio, USA

Journal volume & issue: Vol. 19
p. 101926

Abstract

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The presence of severe right ventricular outflow tract calcification may preclude safe and effective transcatheter pulmonary valve replacement in patients with pulmonary allograft stenosis owing to the risk of conduit tear and suboptimal annular expansion. Debulking calcium using intravascular lithotripsy within the right ventricular outflow tract may mitigate this risk and improve valve hemodynamics. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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