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Ronald K. Woods - co-founder of OperVu, Inc (no relationship to content of this work)
Funding for this work: no funding was provided for this work.
Assent and informed consent were obtained from the patient and parents specifically for including information about the case in this manuscript. Our report was reviewed by Children’s Wisconsin Research Compliance on February 1, 2023 and concluded it did not meet the requirement for IRB submission or oversight.
Central Message
Explanting the newer pre-stent percutaneous valves with infective endocarditis warrants heightened awareness and caution.
Perspective Statement
The Alterra pre-stent and Sapien valve are now part of our specialty’s percutaneous pulmonary valve options, predominantly for patients with prior trans-annular patch repair of tetralogy of Fallot with a dilated outflow tract and annulus. The double strut structure and radial force of the Sapien valve pose unique surgical challenges, particularly in the context of infective endocarditis.
Central Picture: Ronald K Woods, MD, PhD
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