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Gradient over Melody valve in left AV valve position reduces with beta blockade

Published online by Cambridge University Press:  23 July 2019

T. Krasemann*
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Sophia Kinderziekenhuis, Erasmus MC, Rotterdam, The Netherlands
P. van de Woestijne
Affiliation:
Department of Cardiothoracic Surgery, Erasmus MC, Rotterdam, The Netherlands
G. van den Berg
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Sophia Kinderziekenhuis, Erasmus MC, Rotterdam, The Netherlands
*
Author for correspondence: Thomas Krasemann MD(D), Department of Pediatrics, Division of Pediatric Cardiology, Sophia Kinderziekenhuis, Erasmus MC, Wytemaweg 80, 3015CN Rotterdam, The Netherlands. Tel: +31-10 010 7032188; Email: [email protected]

Abstract

The Melody valve, designed for implantation into the pulmonary outflow tract, can also be used to treat the pathology of atrioventricular (AV) valves. Increasing gradients are seen as an indication for re-dilating the valve. Our case demonstrates the heart rate dependency of the gradient across a Melody implanted in the left AV valve position in an infant. Beta blockers were used to lower both heart rate and gradient.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

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