case_images: PMC5298988_01
case_images: Baseline pulmonary regurgitation showed by intraoperative transesophageal echocardiography (A) and 29-mm Edwards Sapien XT prosthesis within an Andramed AS43XXL stent implanted in the pulmonary position (B).
case_images: fsurg-04-00007-g001.jpg
case_images: PMC5298988_01_fsurg-04-00007-g001.jpg
case_images: F1
case_images: Finally, a 29-mm Edwards Sapien XT prosthesis was positioned within the stent (Figures 1A,B show baseline pulmonary regurgitation on transesophageal echocardiography and final result on fluoroscopy, respectively).
case_images: PMC5298988_02
case_images: Gated computed tomography scan showing severe stenosis at the left atrial end of the pericardial baffle [(A), arrow] and 16 mm x 45 mm Premounted CP Stent expanded within the pericardial baffle [(B), the sheath can be seen in the stump of the superior vena cava].
case_images: fsurg-04-00007-g002.jpg
case_images: PMC5298988_02_fsurg-04-00007-g002.jpg
case_images: F2
case_images: A preoperative computed tomography scan was performed, and it demonstrated a severely dilated right ventricle (end-diastolic diameter of 68 mm) and a severe stenosis at the distal end of the baffle (Figure 2A). The final result is shown in Figure 2B.
case_images: PMC5298988_03
case_images: AVP3 14/5 devices shown in final position in short axis on fluoroscopy (A). Color Doppler showing baseline paravalvular leak (B) and final result after device closure (C) on intraoperative transoesophageal echocardiography.
case_images: fsurg-04-00007-g003.jpg
case_images: PMC5298988_03_fsurg-04-00007-g003.jpg
case_images: F3
case_images: Paul, MN, USA) were then implanted to close the leak (Figure 3A). Intraoperative transesophageal echocardiogram demonstrated a good final result with residual trivial paravalvular regurgitation (Figures 3B,C show baseline PVL and final result, respectively).