{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T04:11:50Z","timestamp":1742616710089,"version":"3.40.2"},"reference-count":8,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T00:00:00Z","timestamp":1711411200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We report the case of a 9-year-old male with severe congenital pulmonary valve stenosis referred to our centre for percutaneous valvotomy. On admission, trans-thoracic echocardiogram confirmed a unicuspid pulmonary valve with a peak\/mean pulmonary valve gradient of 91\/53 mmHg and a pulmonary annulus of 13.8 mm (\u22120.8 Z Score). It also showed an enlarged RV (RV\/LV ratio 0,9). During cardiac catheterisation, an additional atrial septal defect (secundum) with significant left to right shunt (Qp\/Qs &gt; 2) was diagnosed, which was not amenable to percutaneous closure. The patient was referred for surgical repair.<\/jats:p><jats:p>The atrial septal defect was closed by a direct running suture. The repair of the unicuspid valve consisted in bicuspidisation by a large commissurotomy to the left anterior wall of the pulmonary artery. The neo-commissure was created with two separate patches of autologous pericardium secured to the wall of the pulmonary root. The adjustment of the effective height of the pulmonary valve leaflets was done by trimming the patches and a triangular plication of the newly created posterior leaflet. Perioperative echocardiogram showed a peak gradient of 15 mm Hg and trivial pulmonary regurgitation. The total cross-clamp time was 92 min and the bypass time 123 min with a favourable evolution after the surgery.<\/jats:p><jats:p>The particularity of the case is represented by the complexity of the bicuspidisation procedure. Using this technique, a tailored approach is needed for every patient.<\/jats:p>","DOI":"10.1017\/s104795112400043x","type":"journal-article","created":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T06:54:11Z","timestamp":1711436051000},"page":"1153-1155","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Bicuspidisation of unicuspid stenotic pulmonary valve in a nine-year-old male"],"prefix":"10.1017","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9039-0520","authenticated-orcid":false,"given":"Florin","family":"Anghel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catalin Constantin","family":"Badiu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alain J.","family":"Poncelet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2024,3,26]]},"reference":[{"key":"S104795112400043X_ref2","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1093\/ehjci\/jeaa008","article-title":"Rare unicuspid pulmonary valve and pulmonary artery aneurysm in an elderly asymptomatic patient","volume":"21","author":"Burrage","year":"2020","journal-title":"Eur Heart J Cardiovasc Imaging"},{"key":"S104795112400043X_ref7","doi-asserted-by":"crossref","first-page":"164","DOI":"10.4103\/aca.aca_22_21","article-title":"Long-term performance of untreated fresh autologous pericardium as a valve substitute in pulmonary position","volume":"25","author":"Pande","year":"2022","journal-title":"Ann Card Anaesth"},{"key":"S104795112400043X_ref1","doi-asserted-by":"crossref","first-page":"141","DOI":"10.4103\/0974-2069.115258","article-title":"Pulmonary valve regurgitation following balloon valvuloplasty for pulmonary valve stenosis: single center experience","volume":"6","author":"Balushi","year":"2013","journal-title":"Ann Pediatr Card"},{"key":"S104795112400043X_ref4","doi-asserted-by":"crossref","first-page":"2012","DOI":"10.1016\/j.athoracsur.2008.02.081","article-title":"Bicuspidization of the unicuspid aortic valve: a new reconstructive approach","volume":"85","author":"Sch\u00e4fers","year":"2008","journal-title":"Ann Thorac Surg"},{"key":"S104795112400043X_ref6","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1007\/s00246-023-03152-7","article-title":"Patch materials for pulmonary artery arterioplasty and right ventricular outflow tract augmentation: a review","volume":"44","author":"Schwartzman","year":"2023","journal-title":"Pediatr Cardiol"},{"key":"S104795112400043X_ref8","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1016\/j.recesp.2013.08.020","article-title":"Long-term results of percutaneous balloon valvuloplasty in pulmonary valve stenosis in the pediatric population","volume":"67","author":"Merino-Ingelmo","year":"2014","journal-title":"Rev Esp Cardiol (Engl Ed)"},{"key":"S104795112400043X_ref3","first-page":"S0019483223004765","article-title":"Balloon pulmonary valvuloplasty: a systematic review","volume":"75","author":"Rao","year":"2023","journal-title":"Indian Heart J"},{"key":"S104795112400043X_ref5","doi-asserted-by":"crossref","first-page":"900426","DOI":"10.3389\/fcvm.2022.900426","article-title":"Comparison of bicuspidization and Ross procedure in the treatment of unicuspid aortic valve disease in adults \u2013 insight from the AVIATOR registry","volume":"9","author":"Gofus","year":"2022","journal-title":"Front Cardiovasc Med"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S104795112400043X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T11:10:05Z","timestamp":1742555405000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S104795112400043X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,26]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["S104795112400043X"],"URL":"https:\/\/doi.org\/10.1017\/s104795112400043x","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"type":"print","value":"1047-9511"},{"type":"electronic","value":"1467-1107"}],"subject":[],"published":{"date-parts":[[2024,3,26]]},"assertion":[{"value":"\u00a9 The Author(s), 2024. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}