case_images: PMC9541116_01
case_images: PMC9541116_02
case_images: 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.
case_images: .jpg
case_images: PMC9541116_04_.jpg
case_images: V1
case_images: 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.
case_images: PMC9541116_03
case_images: 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.
case_images: mdcvj-18-1-1153-g1.jpg
case_images: PMC9541116_03_mdcvj-18-1-1153-g1.jpg
case_images: F1
case_images: CMR and cardiac catheterization demonstrated right-to-left shunt and PV and TV regurgitation (Table 1, Figure 2).
case_images: PMC9541116_04
case_images: 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.
case_images: .jpg
case_images: PMC9541116_04_.jpg
case_images: V1
case_images: 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.