title: Two Melodies in concert: transcatheter double-valve replacement.
abstract: Percutaneous pulmonary valve implantation has been established as a valuable treatment option for elder children and adolescents with conduit failure in the right ventricular outflow tract. Transcatheter valve implantation in the tricuspid position is restricted to single case reports. A 26-year-old male initially diagnosed with tetralogy of Fallot and hypoplastic pulmonary arteries hitherto underwent a total of five open chest procedures including tricuspid valve replacement with a bioprosthesis and a pulmonary homograft exchange. He now presented with severe right heart failure due to a degenerated pulmonary homograft and calcified, severely stenotic tricuspid bioprosthesis with markedly dilated and reduced right ventricular function. We report on the first successful percutaneous transcatheter double-valve replacement using two Melody valves in the pulmonary and tricuspid position, respectively.
authors: Pediatric Heart Center, Justus Liebig University, Giessen, Germany. Dr.C.Jux@web.de
authors: Christian
authors: C
authors: Jux
authors: Hakan
authors: H
authors: Akintuerk
authors: Dietmar
authors: D
authors: Schranz
mesh_terms: D000328:Adult; D001705:Bioprosthesis; D002114:Calcinosis / Q000209:etiology / Q000628:therapy*; D006328:Cardiac Catheterization / Q000295:instrumentation*; D006333:Heart Failure / Q000209:etiology / Q000628:therapy; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011651:Pulmonary Artery / Q000002:abnormalities / Q000601:surgery*; D011664:Pulmonary Valve / Q000601:surgery*; D015641:Radiography, Interventional; D013771:Tetralogy of Fallot / Q000601:surgery; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000601:surgery*; D014264:Tricuspid Valve Stenosis / Q000209:etiology / Q000628:therapy*; D018497:Ventricular Dysfunction, Right / Q000209:etiology / Q000628:therapy