title: Perventricular Melody valve implantation in a 12 kg child.
abstract: Transcatheter pulmonic valve implantation has emerged as a safe and effective alternative to valve surgery in patients with surgically corrected congenital heart disease. In cases where the transcatheter approach has failed, or was thought to be technically challenging, a hybrid approach to pulmonic valve implantation has been described. This approach involves a small subxyphoid incision made by the cardiac surgeon and implantation of the pulmonic valve through the appropriate delivery sheath through this incision. Here we describe a case of a successful implantation of a Melody valve in a 12 kg child with tetralogy of Fallot. To our knowledge this is the smallest child to have undergone this procedure reported.
authors.affiliation: Rush Center for Congenital and Structural Heart Disease, Rush University Medical Center, Chicago, Illinois.
authors.forename: Noa
authors.initials: N
authors.lastname: Holoshitz
authors.forename: Michel N
authors.initials: MN
authors.lastname: Ilbawi
authors.forename: Zahid
authors.initials: Z
authors.lastname: Amin
mesh_terms: D001835:Body Weight; D006328:Cardiac Catheterization / Q000295:instrumentation*; D062906:Cardiac Catheters; D002675:Child, Preschool; D017023:Coronary Angiography; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011664:Pulmonary Valve / Q000000981:diagnostic imaging / Q000503:physiopathology; D011665:Pulmonary Valve Insufficiency / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D015641:Radiography, Interventional; D020127:Recovery of Function; D013771:Tetralogy of Fallot / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D016896:Treatment Outcome
keywords: pediatric interventions; pulmonary angiography; right ventricle; valvular heart disease