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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 Open the ORCID record for T. Krasemann [Opens in a new window] ,
P. van de Woestijne  and
G. van den Berg
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: t.krasemann@erasmusmc.nl
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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
Information
Cardiology in the Young , Volume 29 , Issue 8 , August 2019 , pp. 1110 - 1111
Copyright
© Cambridge University Press 2019 

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References

Pluchinotta, FR, Piekarski, BL, Milani, V, Kretschmar, O, Burch, PT, Hakami, L, Meyer, DB, Jacques, F, Ghez, O, Trezzi, M, Carotti, A, Qureshi, SA, Michel-Behnke, I, Hammel, JM, Chai, P, McMullan, D, Mettler, B, Ferrer, Q, Carminati, M, Emani, SM. Surgical atrioventricular valve replacement with Melody valve in infants and children. Circ Cardiovasc Interv 2018; 11: e007145.CrossRefGoogle 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 2018; 4: 1–3.Google Scholar
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; 156: 1190–1191.CrossRefGoogle ScholarPubMed
Frigiola, A, Pluchinotta, FR, Saracino, A, Giamberti, A, Arcidiacono, C, Piazza, L, Reali, M, Butera, G, Varrica, A, Carminati, M. Surgical mitral valve replacement with the Melody valve in infants and children: the Italian experience. Euro Intervention 2017; 12: 2104–2109.Google ScholarPubMed
Freud, LR, Marx, GR, Marshall, AC, Tworetzky, W, Emani, SM. Assessment of the Melody valve in the mitral position in young children by echocardiography. J Thorac Cardiovasc Surg 2017; 153: 153–160.CrossRefGoogle ScholarPubMed
Lavall, D, Scheller, B, Werner, C, Buob, A, Mahfoud, F. Mitral valve pressure gradient after percutaneous mitral valve repair: every beat counts. ESC Heart Fail 2018; 5: 193–196.CrossRefGoogle ScholarPubMed