Stent fracture following transcatheter pulmonary valve implantation

Chest radiograph of a 24-year-old male 1 year after TPVI. The patient received TPVI 22 years after tetralogy of Fallot repair with a right ventricular to pulmonary artery homograft. As a newborn with tetralogy of Fallot, the patient had received a right-sided Blalock-Taussig shunt that was subsequently clipped. TPVI was performed with a Melody valve after prestenting with an IntraStent Max LD Stent (Covidien) dilated to 20 mm. In the right panel, enlarged detail view, the asterisk indicates an asymptomatic stent fracture.