# Rotational Angiography 3D Data Set to Confirm Harmony Valve Fitness Post Pulmonary Artery Plication

## TL;DR

A 28-year-old woman with heart failure due to a faulty pulmonary valve underwent a successful treatment confirmed using 3D rotational angiography.

## Contribution

The use of 3D rotational angiography confirmed valve fitness after pulmonary artery plication in a complex case.

## Key findings

- The patient had severe pulmonary valve regurgitation and a dilated main pulmonary artery.
- 3D rotational angiography showed adequate oversizing of the 25-mm Harmony valve post-procedure.
- The hybrid approach enabled successful transcatheter valve placement.

## Abstract

A 28-year-old woman presented with heart failure symptoms secondary to severe pulmonary valve regurgitation in the setting of congenital pulmonary valve stenosis that required balloon valvuloplasty. Computed tomography angiography fit analysis demonstrated a severely dilated main pulmonary artery that did not meet the minimum oversizing criteria for placement of a 25-mm Harmony transcatheter pulmonary valve. A hybrid transcatheter pulmonary valve placement approach took place, and a post main pulmonary artery plication right ventricle rotational angiogram was performed. The patient underwent a successful transcatheter pulmonary valve placement. The 3D rotational angiography data set was analyzed, and fit analysis demonstrated an adequate oversizing of the 25-mm transcatheter pulmonary valve.