{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:58:34Z","timestamp":1747173514511,"version":"3.40.5"},"reference-count":7,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2018,12,21]],"date-time":"2018-12-21T00:00:00Z","timestamp":1545350400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"},{"start":{"date-parts":[[2018,12,21]],"date-time":"2018-12-21T00:00:00Z","timestamp":1545350400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Coronary compression exclusion during right ventricle outflow tract stenting is recommended and potential oversight may be fatal. Balloon inflation in right ventricle outflow tract with simultaneous aortography can be inconclusive or falsely negative. We present a case of 27-year-old male post Ross operation qualified for percutaneous pulmonary valve implantation. Neither of the conventional views obtained provided a definite exclusion of coronary compression, therefore an intravascular ultrasound of the left coronary artery before and during balloon inflation in right ventricle outflow tract was performed. Acquired images allowed excluding potential constriction, thus a covered stent and pulmonary valve were implanted and the procedure was concluded. Two hours later, the patient complained of chest pain. Transthoracic echocardiography demonstrated a significant pericardial effusion. Retrospective analysis of the final angiogram revealed a possibility of subtle extravasation at the distal part of the homograft. A hybrid procedure consisting of additional covered stent implantation, pericardial drainage, and second pulmonary valve implantation was performed with an acceptable result. To conclude, in case of doubtful or unconvincing images obtained from aortography or selective angiography during balloon inflation in right ventricle outflow tract, intravascular ultrasound might be a feasible and useful technique. Signs of homograft rupture may be subtle, whereas symptoms of cardiac tamponade delayed. In selected patients percutaneous treatment of homograft rupture is achievable and beneficial.<\/jats:p>","DOI":"10.1017\/s1047951118002202","type":"journal-article","created":{"date-parts":[[2018,12,21]],"date-time":"2018-12-21T01:34:15Z","timestamp":1545356055000},"page":"256-258","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Percutaneous pulmonary valve implantation in patients after Ross procedure: role of intravascular ultrasound"],"prefix":"10.1017","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4428-8208","authenticated-orcid":false,"given":"Karol","family":"Zbro\u0144ski","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lidia","family":"Tomkiewicz-Paj\u0105k","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janusz","family":"Kochman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zenon","family":"Huczek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2018,12,21]]},"reference":[{"key":"S1047951118002202_ref5","first-page":"522","article-title":"Imaging for trans-catheter pulmonary stent-valve implantation without angiography: role of intravascular ultrasound","volume":"40","author":"Ferrari","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"S1047951118002202_ref4","first-page":"1","article-title":"Emergency surgery for extrinsic coronary compression after percutaneous pulmonary valve implantation","volume":"26","author":"Mauri","year":"2012","journal-title":"Cardiol Young"},{"key":"S1047951118002202_ref2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq520"},{"key":"S1047951118002202_ref7","first-page":"294","article-title":"A new strategy to identify potentially dangerous coronary arterial patterns before percutaneous pulmonary valve implantation","volume":"10","author":"G\u00f3reczny","year":"2014","journal-title":"Postepy Kardiol Interwencyjnej"},{"key":"S1047951118002202_ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s40124-013-0013-9"},{"key":"S1047951118002202_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.01.022"},{"key":"S1047951118002202_ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s12471-016-0931-6"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951118002202","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,12]],"date-time":"2019-04-12T17:10:14Z","timestamp":1555089014000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951118002202\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,21]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["S1047951118002202"],"URL":"https:\/\/doi.org\/10.1017\/s1047951118002202","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"type":"print","value":"1047-9511"},{"type":"electronic","value":"1467-1107"}],"subject":[],"published":{"date-parts":[[2018,12,21]]},"assertion":[{"value":"\u00a9 Cambridge University Press 2018\u00a0","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}