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Войти в исследования JACC. Case reports · 2025
Left Recurrent Laryngeal Nerve Palsy Following Self-Expanding Transcatheter Pulmonary Valve Replacement.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Saber Mohamed, Fuensalida Alberto, Salih Tasneem, Biglino Giovanni, Taliotis Demetris, Szantho Gergely V, Curtis Stephanie L, Manghat Nathan E, Bedair Radwa, Turner Mark S
Аннотация
BACKGROUND: We describe a rare complication of transcatheter pulmonary valve replacement (TPVR) using a self-expanding Venus P-Valve (BVM Medical).
CASE SUMMARY: A 28-year-old woman with repaired pulmonary atresia and ventricular septal defect underwent TPVR with a 34 mm × 25 mm self-expanding Venus P-Valve for symptomatic severe pulmonary regurgitation. Post-procedure, she developed persistent hoarseness of voice, later confirmed as left recurrent laryngeal nerve palsy. Computed tomography suggested compression of the anatomical location of the left recurrent laryngeal nerve by the valve's distal struts near the left pulmonary artery (LPA). Surgical valve removal was deemed high risk.
DISCUSSION: This is the first reported case of left recurrent laryngeal nerve palsy following TPVR with a self-expanding valve. Vocal cord paralysis is a recognized but rare complication of LPA-related interventions, and most patients recover within 2 years.
TAKE-HOME MESSAGE: Awareness of this rare complication is important because TPVR with self-expandable valves is becoming more widely adopted.
CASE SUMMARY: A 28-year-old woman with repaired pulmonary atresia and ventricular septal defect underwent TPVR with a 34 mm × 25 mm self-expanding Venus P-Valve for symptomatic severe pulmonary regurgitation. Post-procedure, she developed persistent hoarseness of voice, later confirmed as left recurrent laryngeal nerve palsy. Computed tomography suggested compression of the anatomical location of the left recurrent laryngeal nerve by the valve's distal struts near the left pulmonary artery (LPA). Surgical valve removal was deemed high risk.
DISCUSSION: This is the first reported case of left recurrent laryngeal nerve palsy following TPVR with a self-expanding valve. Vocal cord paralysis is a recognized but rare complication of LPA-related interventions, and most patients recover within 2 years.
TAKE-HOME MESSAGE: Awareness of this rare complication is important because TPVR with self-expandable valves is becoming more widely adopted.