Hostname: page-component-745bb68f8f-d8cs5 Total loading time: 0 Render date: 2025-02-10T14:34:11.239Z Has data issue: false hasContentIssue false

Hybrid subxiphoid pulmonary valve replacement in a Toddler: focus on technical tips

Published online by Cambridge University Press:  07 February 2025

Bassel Mohammad Nijres*
Affiliation:
Pediatric Cardiology, Stead Family Children’s Hospital, University of Iowa, Iowa City, USA Pediatric Cardiology, King Faisal Specialist Hospital and Research Centre, Jeddah, Saudi Arabia
Amjad Kouatli
Affiliation:
Pediatric Cardiology, King Faisal Specialist Hospital and Research Centre, Jeddah, Saudi Arabia
Mohsen Karimi
Affiliation:
Department of Cardiothoracic Surgery, University of Iowa, Iowa City, IA, USA
*
Corresponding author: Bassel Mohammad Nijres; Email: [email protected]

Abstract

Pulmonary valve replacement in small children is rarely needed; when performed, it is usually done surgically. Herein, we describe a hybrid technique for pulmonary valve replacement through a small subxiphoid incision in a Toddler without utilising the cardiopulmonary bypass machine. The procedural technique is thoroughly explained. Collaboration between paediatric cardiology and cardiovascular surgery teams achieved optimal outcome with minimised invasiveness.

Type
Brief Report
Copyright
© The Author(s), 2025. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Gupta, A, Kenny, D, Caputo, M, Amin, Z. Initial experience with elective perventricular melody valve placement in small patients. Pediatr Cardiol 2017; 38: 575581.CrossRefGoogle ScholarPubMed
Breatnach, CR, McGuinness, J, Ng, LY et al. Procedural technique for hybrid pulmonary valve replacement in infants and small children. Eur J Cardiothorac Surg 2021; 59: 823830.CrossRefGoogle ScholarPubMed
Ng, LY, Al-Alawi, K, Breatnach, C et al. Hybrid subxiphoid perventricular approach as an alternative access in neonates and small children undergoing complex congenital heart interventions. Pediatr Cardiol 2021; 42: 526532.CrossRefGoogle Scholar
Shibbani, K, Aboulhosn, J, Levi, D et al. Hybrid approach for harmony transcatheter pulmonary valve replacement. Catheter Cardiovasc Interv 2023; 101: 135139. DOI: 10.1002/ccd.30504.CrossRefGoogle ScholarPubMed
Carr, K, Nijres, BM, Windsor, JJ et al. Single-center experience of hybrid pulmonary valve replacement using left anterior thoracotomy with pulmonary artery plication in patients with large right ventricular outflow tract. J Am Heart Assoc 2022; 11: e026517. DOI: 10.1161/JAHA.122.026517.CrossRefGoogle ScholarPubMed
Karamlou, T, Blackstone, EH, Hawkins, JA et al. Can pulmonary conduit dysfunction and failure be reduced in infants and children less than age 2 years at initial implantation? J Thorac Cardiovasc Surg 2006; 132: 829838.e5. DOI: 10.1016/j.jtcvs.2006.06.034.CrossRefGoogle ScholarPubMed
Guyon, PW, Mohammad Nijres, B, Justino, H et al. Expanded use of the one-step technique for simultaneous landing zone stenting and placement of the melody transcatheter pulmonary valve. J Invasive Cardiol 2021; 33: E954E959. DOI: 10.25270/jic/20.00739.CrossRefGoogle ScholarPubMed