Transcutaneous Melody valve implantation in "tricuspid position" after a Fontan Björk (RA-RV homograft) operation results in biventricular circulation.
A modified Fontan operation (Fontan Björk [Bjork VO, Olin CL, Bjarke BB, Thoren CA. Right atrial-right ventricular anastomosis for correction of tricuspid atresia. J Thorac Cardiovasc Surg 1979;77:452--8]) for absent right atrio-ventricular connection was done by using a homograft between the right atrium and the right ventricle in some patients. We present the case of a 31-year-old patient, 21 years after a modified Fontan operation with severe homograft dysfunction. A percutaneous "tricuspid valve" implantation was performed with a Melody valve resulting in a good functional result.
Eicken
Andreas
A
Fratz
Sohrab
S
Hager
Alfred
A
Vogt
Manfred
M
Balling
Gunter
G
Hess
John
J
D000328:Adult; D001775:Blood Circulation / Q000502:physiology; D018729:Fontan Procedure; D006325:Heart Atria / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D012086:Reoperation; D014184:Transplantation, Homologous; D018785:Tricuspid Atresia / Q000601:surgery*