PMC9541116_01
PMC9541116_02
Main pulmonary angiography demonstrating degenerated right ventricle-pulmonary artery homograft with pulmonic regurgitation; also at https://youtube.com/shorts/10_v97YnH3Q.. Main pulmonary angiography demonstrating prosthetic pulmonic valve competence following implantation of Palmaz XL P4010 stent and Melody valve; also at https://youtube.com/shorts/Fnbif5eio0s.. Intracardiac echocardiography performed from the right atrium with color Doppler demonstrating right to left shunt through the PFO at baseline; also at https://youtu.be/OOFEhr55Sgg.. Intracardiac echocardiography demonstrating no residual right to left shunt through the PFO following implantation of a 25mm Amplatzer PFO Occluder (Abbott, Santa Clara); also at https://youtu.be/xBEzK-gxYK4.
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V1
Avalus valve (Medtronic), RV outflow tract reconstruction with bovine pericardium, and closure of his PFO (Figure 1 D-F). At 4-month follow-up, the patient denied cyanosis and reported improved exercise tolerance.
PMC9541116_03
Case imaging. (A) Four-chamber cardiac magnetic resonance imaging demonstrating severely dilated RV compared to LV with leftward bowing of interatrial septum (arrow). (B) Transesophageal echocardiography demonstrating right-to-left shunt through PFO (arrow). (C) Fluoroscopic images from hybrid pulmonary valve replacement and PFO closure; angiogram demonstrates no residual pulmonic regurgitation. (D) Two occluders (arrow) were deployed to close the PFO and atrial septal deflect. LA: left atrium; LV: left ventricle; PA: pulmonary artery; PFO: patent foramen ovale; RA: right atrium; RV: right ventricle.
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F1
CMR and cardiac catheterization demonstrated right-to-left shunt and PV and TV regurgitation (Table 1, Figure 2).
PMC9541116_04
Main pulmonary angiography demonstrating degenerated right ventricle-pulmonary artery homograft with pulmonic regurgitation; also at https://youtube.com/shorts/10_v97YnH3Q.. Main pulmonary angiography demonstrating prosthetic pulmonic valve competence following implantation of Palmaz XL P4010 stent and Melody valve; also at https://youtube.com/shorts/Fnbif5eio0s.. Intracardiac echocardiography performed from the right atrium with color Doppler demonstrating right to left shunt through the PFO at baseline; also at https://youtu.be/OOFEhr55Sgg.. Intracardiac echocardiography demonstrating no residual right to left shunt through the PFO following implantation of a 25mm Amplatzer PFO Occluder (Abbott, Santa Clara); also at https://youtu.be/xBEzK-gxYK4.
.jpg
PMC9541116_04_.jpg
V1
Avalus valve (Medtronic), RV outflow tract reconstruction with bovine pericardium, and closure of his PFO (Figure 1 D-F). At 4-month follow-up, the patient denied cyanosis and reported improved exercise tolerance.