IMPACT-0226 - Transcatheter Pulmonary Valve Replacement (TPVR)-IMPACT-0226 - Transcatheter Pulmonary Valve Replacement (TPVR)

IMPACT-0226 - Transcatheter Pulmonary Valve Replacement (TPVR)

Video Transcription

Video Summary

This case involves a 24-year-old male with pulmonary atresia and tetralogy of Fallot, presenting with worsening symptoms due to a failing pulmonary homograft. In the cath lab, severe stenosis and calcification were found. Balloon angioplasty and stent placement were attempted but halted due to risk of valve rupture, leading to surgical intervention. The procedure was classified as transcatheter pulmonary valve replacement (TPVR) because a device was introduced to prepare the conduit, defining the intent of TPVR despite the procedure being incomplete. This scenario highlights procedural coding and decision-making in complex valve replacement cases.

Keywords

atrial septal defect

transcatheter device closure

occluder device

residual shunt size

surgical removal

pulmonary atresia

tetralogy of Fallot

pulmonary homograft failure

transcatheter pulmonary valve replacement

balloon angioplasty