title: A concert in the heart: bilateral Melody valve implantation in the branch pulmonary arteries.
abstract: Patients undergoing right ventricular outflow tract reconstruction are subject to valve and cusp degeneration later in life, requiring further intervention to alleviate the pulmonary regurgitation that ensues. In these cases, percutaneous pulmonary valve implantation can be an effective alternative to surgery; however, since the indications have been limited to dysfunctional valved conduits, only a small number of patients have access to this treatment option. We present the case of an 18-year-old male with a patch-enlarged right ventricle to pulmonary artery conduit who underwent pulmonary valve implantation using two Melody transcatheter pulmonary valves (Medtronic, Inc) into the proximal right and left branch pulmonary arteries.
authors.affiliation: Pediatric Cardiology, Department of Pediatrics, University of Padova-Medical School, Via Giustiniani 3, 35128 Padova, Italy. nicola.maschietto@gmail.com
authors.forename: Nicola
authors.initials: N
authors.lastname: Maschietto
authors.forename: Ornella
authors.initials: O
authors.lastname: Milanesi
mesh_terms: D000293:Adolescent; D006328:Cardiac Catheterization / Q000379:methods*; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis / Q000145:classification*; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery; D018633:Pulmonary Atresia / Q000628:therapy; D011664:Pulmonary Valve; D013771:Tetralogy of Fallot / Q000628:therapy; D016896:Treatment Outcome; D014694:Ventricular Outflow Obstruction / Q000628:therapy