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Re Stent and Implantation of Second Pulmonary Valve
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March 13, 2014
History:
• 45 year old man with history of ROSS procedure done in past at ...
read more ↘ the age of 30 years utilizing a homograft.
• Subsequent F/U shows homograft stenosis and regurgitation with symptoms on exertion
• December 2011, he underwent transcatheter Melody valve implantation.
• Recent follow up showed increased gradient across the Melody valve.
• Fluoroscopy showed stent fracture of melody valve.
Physical Findings:
• Normal pulses and perfusions. Normal heart sounds and no murmur. Chest is clear and no organomegaly.
Pertinent Tests:
EKG:
• Normal sinus rhythm
Chest X-ray:
• Normal
Echo:
• Gradient of 55mmHg across RVOT with mild PI
CT Scan:
• Will be shown in meeting
↖ read less
• 45 year old man with history of ROSS procedure done in past at ...
read more ↘ the age of 30 years utilizing a homograft.
• Subsequent F/U shows homograft stenosis and regurgitation with symptoms on exertion
• December 2011, he underwent transcatheter Melody valve implantation.
• Recent follow up showed increased gradient across the Melody valve.
• Fluoroscopy showed stent fracture of melody valve.
Physical Findings:
• Normal pulses and perfusions. Normal heart sounds and no murmur. Chest is clear and no organomegaly.
Pertinent Tests:
EKG:
• Normal sinus rhythm
Chest X-ray:
• Normal
Echo:
• Gradient of 55mmHg across RVOT with mild PI
CT Scan:
• Will be shown in meeting
↖ read less
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