Percutaneous and Surgical Pulmonary Valve Replacement Options in Adult Congenital Heart Disease: a Review

Adult congenital heart disease (ACHD) patients are increasing. Valve replacements are one of the most common procedures performed in these subset of patients, especially pulmonary valve replacement. The purpose of the review is to discuss the indications, pre-procedure planning, spectrum of surgical and percutaneous valve replacement options, choice of prosthetic valves and post procedure management in ACHD.

The choice of prosthesis for pulmonary valve replacement is an ever-evolving process. Various options exist and none have proven to be the standard of care. We discuss different valve prosthesis and their indications.

Pulmonary valve replacements in ACHD patients continue to increase. Bioprosthetic valves are the most common replacement options, however newer valves with novel technologies are on the horizon. Transcatheter valve replacement has proven to be the preferred approach wherever feasible.