Early Stent Frame Fracture of SAPIEN 3 Valve in the Pulmonary Position.

Catheter Cardiovasc Interv

Filière des Cardiopathies Congénitales Enfant Adultes, Hôpital Marie Lannelongue, Centre Constitutif du Réseau Maladies Rares Malformations Cardiaques Congénitales Complexes-M3C, Hôpitaux Saint Joseph et Marie Lannelongue, Le Plessis Robinson, France.

Published: September 2025


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Article Abstract

A 15-year-old post-REV patient underwent transcatheter pulmonary valve replacement with a 23 mm SAPIEN 3 for right ventricular outflow tract (RVOT) stenosis and severe regurgitation. At 9 months, recurrent stenosis revealed multiple frame fractures. Balloon redilation up to 24 mm was limited by aortic root compression and recoil, prompting surgery. This first reported case of early SAPIEN 3 fracture in the pulmonary position highlights structural risks in complex RVOT anatomies.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412348PMC
http://dx.doi.org/10.1002/ccd.70010DOI Listing

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