Geriatric patient for transcatheter pulmonary valve replacement for restenosis of implanted pulmonary valve

Abstract

Transcatheter Pulmonary Valve Replacement (TPVR) is a safe, less invasive alternative to surgical valve replacement for patients with right ventricular outflow tract stenosis. TPVR is relatively newer procedure has mostly been described in mostly young and middle aged individuals. We describe a case report of a 76 years old female patient who presented with restenosis of replaced Pulmonary valve. Patient was case of congenital Pulmonary stenosis and Ventricular septal defect underwent Open surgery and Transcatheter Pulmonary Valvoplasty in past. There are very few reports of geriatric patients undergoing the procedure. There is difference of opinion regarding choice of anaesthesia – Deep Sedation vs General Anaesthesia, choice depending upon patient condition and setup available.Understanding of possible complications and effective communication with the cardiology team are the keys for safe intra-operative management.