{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T04:19:09Z","timestamp":1787804349378,"version":"build-2784847793"},"reference-count":8,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This report describes a 47\u2011year\u2011old woman with a history of repaired tetralogy of Fallot presenting with a massively dilated native right ventricular outflow tract (RVOT) and enlarged pulmonary arteries. She underwent bilateral branch pulmonary artery valve implantation using self\u2010expanding Pulsta valves. Early embolization of the left pulmonary artery valve necessitated a complex percutaneous rescue, including balloon anchoring, through\u2010and\u2010through wiring, and stepwise relocation. Following a subsequent embolization into the right ventricle resulting in tricuspid entrapment, emergent surgical retrieval was recommended but declined by the patient's family. Consequently, the migrated prosthesis was ultimately managed via definitive fixation at the superior vena cava\u2013right atrium (SVC\u2013RA) junction using an off\u2010label, fenestrated thoracic covered stent. This approach successfully avoided emergent redo sternotomy, illustrating a novel and effective transcatheter bailout strategy for embolized pulmonary valves in challenging RVOT anatomies when surgical intervention is refused.<\/jats:p>","DOI":"10.1002\/ccd.70810","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T03:47:13Z","timestamp":1787802433000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Novel Bailout for Pulsta Valve Embolization: Microporous Endograft Fixation at the SVC\u2010RA Junction in Repaired Tetralogy of Fallot With Severe Pulmonary Regurgitation"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1058-0443","authenticated-orcid":false,"given":"Chia\u2010Yu","family":"Ou","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine National Cheng Kung University Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7128-5344","authenticated-orcid":false,"given":"Jieh\u2010Neng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, National Cheng Kung University Hospital, College of Medicine National Cheng Kung University Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chung\u2010Dann","family":"Kan","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine National Cheng Kung University Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"issue":"2","key":"e_1_2_6_2_1","first-page":"119","article-title":"Pulsta Valve: New Replacement Option for Diverse Right Ventricular Outflow Tract Diseases","volume":"83","author":"Kim G. 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