Abstract

Pulmonary valve or right ventricle outflow tract disfunction are one of the anomalies in patients with congenital heart disease. Percutaneous pulmonary valve implantation (PPVI) was developed as an alternative to surgical treatment. Although it is considered a safe procedure, life-threatening complications can happen and institutions must be able to resolve these in an adequate and immediate way.
We present a case of pulmonary valve migration to the right ventricle during a PPVI. This complication needed immediate cardiac surgery due to resulting hemodynamic instability. The percutaneous valve prosthesis was removed and a bioprosthesis was surgically implanted in pulmonary position.
This case emphasizes the need of prompt cardiac surgery support in centers that provide percutaneous heart valve procedures.

Key words: Pulmonary Valve; Heart Valve Prosthesis Implantation; Cardiac Surgical Procedures