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The Madras Medical Mission

4-A Dr. J. Jayalalitha Nagar, Chennai,
Tamil Nadu 600037

LPA Stenting and Transcatheter Pulmonary Valve Replacement with Myval Pulmonary Valve


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Summary: 34-year-old male patient, post-operative case of Tetralogy of Fallot/ Pulmonary Atresia who underwent surgical repair with VSD closure, RVOT reconstruction, and LPA plasty in childhood. He currently presents with mild effort intolerance, and a CT scan shows dilated RV, LPA stenosis with an origin measuring 3mm, and hilar LPA of 16mm. Cardiac MRI shows a pulmonary regurgitation fraction of 30%, increased RV volumes of 199ml, and RV EF of 46%.

Plan: LPA stenting and transcatheter pulmonary valve replacement with Myval percutaneous pulmonary valve after presenting.


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