Journal
CARDIOLOGY IN THE YOUNG
Volume -, Issue -, Pages -Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S104795112300029X
Keywords
Adult CHD; congenitally corrected transposition of the great arteries; levo-transposition of the great arteries; percutaneous valve-in-valve implantation
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We report a case of a pregnant patient with congenitally corrected transposition of the great arteries and severe atrioventricular bioprosthesis regurgitation, who was at high maternal and fetal risk due to volume overload. She underwent an off-label post-partum transcatheter valve-in-valve implantation with a Sapiens 3 valve, resulting in a successful procedure. She remains asymptomatic 30 months after and had another successful pregnancy.
We present an asymptomatic pregnant patient with congenitally corrected transposition of the great arteries and severe atrioventricular bioprosthesis regurgitation - with increased maternal and fetal risk due to volume overload. She was considered high risk for reintervention and was submitted to an off-label post-partum transcatheter valve-in-valve implantation with a Sapiens 3 valve. The procedure was successful, and she remains asymptomatic 30 months after - and even went through another successful pregnancy.
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