Hyperacute flash pulmonary oedema after transcatheter pulmonary valve implantation: The melody of an overwhelmed left ventricle

Arch Cardiovasc Dis. 2014 Apr;107(4):219-24. doi: 10.1016/j.acvd.2014.03.007. Epub 2014 May 2.

Abstract

Percutaneous transcatheter Melody Valve implantation has achieved standard of care for the management of certain patients with right ventricular outflow tract dysfunction. With its widespread use, some rare and potentially fatal complications, such as right ventricular outflow tract rupture and coronary artery compression, have been reported. We report hyperacute flash pulmonary oedema after Melody Valve implantation for the first time in two patients and describe some possible predictors.

Keywords: Cardiopathies congénitales; Congenital heart disease; Implantation percutanée d’une valve pulmonaire; Melody; Pulmonary oedema; Transcatheter pulmonary valve; Œdème pulmonaire.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adolescent
  • Cardiac Catheterization / adverse effects*
  • Cardiac Catheterization / instrumentation
  • Cardiac Surgical Procedures / adverse effects*
  • Female
  • Heart Defects, Congenital / physiopathology
  • Heart Defects, Congenital / surgery*
  • Heart Valve Prosthesis
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Heart Valve Prosthesis Implantation / instrumentation
  • Hemodynamics
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Prosthesis Design
  • Pulmonary Edema / diagnosis
  • Pulmonary Edema / etiology*
  • Pulmonary Edema / therapy
  • Pulmonary Valve / physiopathology*
  • Pulmonary Valve Insufficiency / diagnosis
  • Pulmonary Valve Insufficiency / etiology
  • Pulmonary Valve Insufficiency / physiopathology
  • Pulmonary Valve Insufficiency / therapy*
  • Risk Factors
  • Treatment Outcome
  • Ventricular Function, Left*