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Catheter Cardiovasc Interv. 2019 Nov 7. doi: 10.1002/ccd.28591. [Epub ahead of print]

Hybrid transcatheter pulmonary valve replacement with a SAPIEN S3 valve after pulmonary artery banding via left lateral thoracotomy.

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Division of Cardiovascular Medicine, Duke University Medical Center, Durham, North Carolina.
Division of Cardiovascular and Thoracic Surgery, Duke University Medical Center, Durham, North Carolina.
Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina.


For many patients with repaired congenital heart disease, the need for reintervention on dysfunctional right ventricular outflow tracts is pervasive. Many such patients are poor candidates for both transcatheter pulmonary valve replacement and cardiopulmonary bypass, and hybrid surgical and transcatheter procedures have evolved to meet this need. We present two cases of hybrid pulmonary valve replacement involving pulmonary artery band placement via left anterior thoracotomy followed by transvenous placement of a SAPIEN S3 valve without prestenting. This approach avoids cardiopulmonary bypass as well as redo sternotomy and will likely see an increase in utilization in the future.


cardiopulmonary bypass; congenital heart defects; heart valve disease; tetralogy of Fallot


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