Faculty Collaboration Database

Melody® pulmonary valve implantation in two teenage patients with congenitally corrected transposition of the great arteries status after Senning atrial switch operation. Cardiol Young 2017 Apr;27(3):600-604

Date

10/18/2016

Pubmed ID

27748225

DOI

10.1017/S104795111600158X

Scopus ID

2-s2.0-84991575758 (requires institutional sign-in at Scopus site)   2 Citations

Abstract

The Melody® transcatheter pulmonary valve system was developed for placement within right ventricle-to-pulmonary artery conduits in patients with CHD for treatment of stenosis or regurgitation, providing an alternative to open-heart surgery. Abnormal systemic venous connections altering the catheter course to the right ventricle-to-pulmonary artery conduit may present a challenge to Melody® valve implantation. We present two such cases, in which the Melody® valve was successfully implanted in teenage patients with congenitally corrected transposition of the great arteries after Senning atrial switch operation. Despite the abnormal catheter course, the right ventricle-to-pulmonary artery was approachable via the right femoral vein allowing for deployment of the Melody® valve in the appropriate position. This suggests that systemic vein-to-left atrium baffles are not prohibitive of Melody® valve implantation. This is an important implication considering the substantial population of ageing patients with CHD who have undergone atrial switch. Melody® valve implantation can be considered as a viable option for treatment of these patients if they develop right ventricle-to-pulmonary artery conduit failure.

Author List

Rios R, Foerster SR, Gudausky TM

Authors

Susan Foerster MD Professor in the Pediatrics department at Medical College of Wisconsin
Todd M. Gudausky MD Associate Professor in the Pediatrics department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Abnormalities, Multiple
Adolescent
Angiography
Arterial Switch Operation
Female
Follow-Up Studies
Heart Valve Prosthesis Implantation
Humans
Magnetic Resonance Imaging, Cine
Male
Phlebography
Pulmonary Valve
Pulmonary Valve Stenosis
Transposition of Great Vessels