title: Successful subxyphoid hybrid approach for placement of a Melody percutaneous pulmonary valve.
abstract: A variety of complex congenital heart defects in the pediatric population involve placement of a right ventricle to pulmonary artery conduit as part of surgical repair. With the advent of percutaneous pulmonary valve implantation (PPVI), patients may avoid the risks of serial surgical reinterventions as the PPVI acts to prolong the life of a previously placed conduit. As the experience with PPVI is growing, new challenges arise from complicated anatomy and severe conduit stenosis. We present a case of a 16-year-old male who underwent successful pulmonary valve placement with a Melody valve via a subxyphoid hybrid approach after an unsuccessful attempt at percutaneous placement.
authors.affiliation: Department of Cardiology, Washington University, Saint Louis, MO 63110, USA. simpson_k@kids.wustl.edu
authors.forename: Kathleen E
authors.initials: KE
authors.lastname: Simpson
authors.forename: Charles B
authors.initials: CB
authors.lastname: Huddleston
authors.forename: Susan
authors.initials: S
authors.lastname: Foerster
authors.forename: Ramzi
authors.initials: R
authors.lastname: Nicholas
authors.forename: David
authors.initials: D
authors.lastname: Balzer
mesh_terms: D000293:Adolescent; D006328:Cardiac Catheterization / Q000295:instrumentation*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011664:Pulmonary Valve; D011665:Pulmonary Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D012720:Severity of Illness Index; D016896:Treatment Outcome