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Further percutaneous dilation of a Melody® valve in the mitral position to accommodate somatic growth in a small child: lessons learned

  • Patrick M. Sullivan (a1), Pierre C. Wong (a1), Richard Kim (a2) and Frank F. Ing (a3)

Abstract

A 15-month-old child underwent percutaneous expansion of a Melody transcatheter pulmonary valve in the mitral position to accommodate growth after initial surgical implantation during infancy, but transiently decompensated after valvuloplasty owing to stent malformation. The Melody valve in the mitral position of small patients can be further expanded by percutaneous dilation, but there are a number of potential complications and technical improvements to consider.

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Corresponding author

Author for correspondence: F. F. Ing, MD, Division of Pediatric Cardiology, UC Davis Children’s Hospital, 2516 Stockton Blvd, TICON II, Room 208, Sacramento, CA 95817, USA. Tel: 916-734-3112; Fax: 916-783-0470; E-mail: ffing@ucdavis.edu

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Cite this article: Sullivan PM, Wong PC, Kim R, Ing FF. (2018) Further percutaneous dilation of a Melody® valve in the mitral position to accommodate somatic growth in a small child: lessons learned. Cardiology in the Young page 235 of 237. doi: 10.1017/S1047951118001944

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1. Quiñonez, LG, Breitbart, R, Tworetsky, W, Lock, JE, Marshall, AC, Emani, SM. Stented bovine jugular vein graft (Melody valve) for surgical mitral valve replacement in infants and children. J Thorac Cardiovasc Surg 2014; 148: 14431449.
2. Frigiola, A, Pluchinotta, FR, Saracino, A, et al. Surgical mitral valve replacement with Melody valve in infants and children: the Italian experience. EuroIntervention 2017; 12: 21042109.
3. Hofmann, M, Dave, H, Hübler, M, Kretschmar, O. Simplified surgical-hybrid Melody valve implantation for paediatric mitral valve disease. Eur J Cardiothorac Surg 2015; 47: 926928.
4. Trezzi, M, Cetrano, E, Albano, A, Carotti, A. Extending the limits for mitral valve replacement in low-weight infants using a stented bovine jugular vein graft. J Thorac Cardiovasc Surg 2015; 150: 729730.

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