Pulmonary Artery Pseudoaneurysm After Transcatheter Pulmonary Valve Replacement, a Novel Approach for Complication Management

Transcatheter pulmonary valve replacement (TPVR) using the SAPIEN 3 (Edwards Lifesciences) transcatheter heart valve is increasingly used to treat patients with right ventricular outflow tract (RVOT) dysfunction. Yet, TPVR in patients with calcified RVOT homografts remains challenging and carries a high risk of complications. We present a case of a dysfunctional 24-mm calcified RVOT homograft in a patient with a history of truncus arteriosus and hypoplastic branch pulmonary arteries.