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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: marinos.kantzis@gmail.com; marinos.kantzis@uhl-tr.nhs.uk
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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
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

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