Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-27T19:39:55.354Z Has data issue: false hasContentIssue false
  • English
  • Français

Transapical access for dilatation of a Melody valve in the mitral position using large balloons, in a small child: a case description with midterm follow-up and literature review

Part of: Interventional Cardiology

Published online by Cambridge University Press:  09 March 2021

M. Kantzis Open the ORCID record for M. Kantzis [Opens in a new window] ,
S. Shebani ,
S. Yong  and
I. Saeed
M. Kantzis*
Affiliation:
Paediatric Cardiology Department, EMCHC Glenfield Hospital, University Hospital Leicester, Leicester, UK
S. Shebani
Affiliation:
Paediatric Cardiology Department, EMCHC Glenfield Hospital, University Hospital Leicester, Leicester, UK
S. Yong
Affiliation:
Paediatric Cardiology Department, EMCHC Glenfield Hospital, University Hospital Leicester, Leicester, UK
I. Saeed
Affiliation:
Congenital Heart Surgery Department, EMCHC Glenfield Hospital, University Hospital Leicester, Leicester, UK
*
Author for correspondence: Marinos Kantzis, Paediatric cardiology Department, EMCHC Glenfield Hospital, University Hospital, Leicester, UK. Tel: +447425051288. E-mails: [email protected]; [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

The surgical placement of the Melody®valve in the mitral position in infants and young children was first reported in 2012. Since then, there have only been a limited number of technically oriented reports describing catheter techniques to tackle valve-related issues such as valve adjustment for somatic growth or the management of haemodynamically significant paravalvar regurgitation. We present a case study where severe paravalvar leaks were tackled using a hybrid approach and large low-pressure balloons in a child who had previously undergone Melody® valve implantation in the mitral position. The technical outcome remains very good at 18 months follow-up and the patient remains symptom-free.

Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 8 , August 2021 , pp. 1336 - 1339
Check for updates
Copyright
© The Author(s), 2021. 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

Abdullah, I, Ramirez, FB, McElhinney, DB, Lock, JE, del Nido, PJ, Emani, S. Modification of a Stented Bovine Jugular Vein Conduit (Melody Valve) for Surgical Mitral Valve Replacement Ann Thorac Surg 2012; 94: e97–e98. doi: 10.1016/j.athoracsur.2012.02.101.CrossRefGoogle ScholarPubMed
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: 926–928. doi: 10.1093/ejcts/ezu275 CrossRefGoogle ScholarPubMed
Langer, NB, Solowiejczyk, D, Fahey, JT, Torres, A, Bacha, E, Kalfa, D Modified technique for Melody valve implantation in the mitral position. J Thorac Cardiovasc Surg 2018; 1–2, 0022-5223.Google Scholar
Stephens, EH, Tannous, P, Nugent, AW, Hauck, AL, Forbess, JM. Supra-Annular Mitral Implantation of Melody Valve: Minimizing Left Ventricular Outflow Tract Obstruction. World J Pediatr Congenit Heart Surg 2019; 10; 235–238.CrossRefGoogle ScholarPubMed
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: 1443–1449.CrossRefGoogle ScholarPubMed
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: 2104–2109.10.4244/EIJ-D-16-00853CrossRefGoogle ScholarPubMed
Sullivan, PM, Wong, PC, Kim, R, Ing, FF. Further percutaneous dilation of a Melody® valve in the mitral position to accommodate somatic growth in a small child: lessons learned. Cardiol Young 2019; 29: 235–237. doi: 10.1017/S1047951118001944.CrossRefGoogle Scholar