Transcatheter Pulmonary Valve Replacement in Patients With Congenital Heart Disease

Bartra, Shantelle MSN, ARNP, PNP-PC

Author
Shantelle Bartra is a pediatric nurse practitioner and coordinator in the cardiac catheterization laboratory, Congenital Heart Center, University of Florida Health, Shands Hospital, Gainesville, Florida.

Corresponding author: Shantelle Bartra, MSN, ARNP, PNP-PC, Congenital Heart Center, University of Florida, 1600 SW Archer Rd, PO Box 100297, Gainesville, FL 32610 (email:[email protected]).

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Critical Care Nurse 38(1):p 30-36, February 2018. | DOI: 10.4037/ccn2018581

Transcatheter pulmonary valve replacement is now a feasible alternative to surgical pulmonary valve replacement in children and adults with dysfunctional right ventricular outflow conduits. Currently, 2 types of valves can be used for this application. This article provides an overview of the procedure and how it is performed, indications and contraindications for transcatheter pulmonary valve replacement, and short- and long-term outcomes. Nursing considerations mainly focus on educating patients, preventing bleeding and infection, monitoring renal function, and preventing injury to the catheter insertion site. This article enhances the knowledge of nurses working in cardiac catheterization laboratories and postprocedure recovery and cardiac units so that the nurses can anticipate interventions and understand the management of patients who have transcatheter pulmonary valve replacement.