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Ferrari E et al. – The authors describe the case of a 20–year–old man who underwent a pulmonary trunk reconstruction for a congenital pulmonary valve dysplasia and a few years later developed a stenosis in the pulmonary conduit. He was successfully treated with a 23 mm Edwards Sapien stent–valve implantation in pulmonary position, through an unusual right ventricular, sub–xyphoidian access and without contrast medium injections and pleura opening.

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