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Published online by Cambridge University Press: 30 September 2025
We report the first case in Vietnam of transcatheter pulmonary valve-in-valve implantation using the self-expanding Pulsta valve in a young adult with repaired Tetralogy of Fallot. This case demonstrates the feasibility, safety, and early effectiveness of self-expanding valves in complex right ventricular outflow tract anatomies and highlights the importance of multimodal imaging in procedural planning.