title: Simplified surgical-hybrid Melody valve implantation for paediatric mitral valve disease.
abstract: Children suffering from left atrioventricular valve (LAVV) disease not amenable to repair represent a significant challenge. The results of surgical reconstruction are not optimal. Valve replacement as an alternative is associated with poor results. The surgical-hybrid approach with implantation of a stented biological valve (bovine jugular vein graft, Melody valve) seems to represent a new therapeutic option. Here we demonstrate our case, the consideration and the approach to extreme clinical findings in a small child. We describe a simplified surgical-hybrid Melody valve implantation in a LAVV position. The technique of implantation is relatively simple and the immediate postoperative result very good.
authors.affiliation: Department of Congenital Cardiovascular Surgery, University Children's Hospital Zurich, Zurich, Switzerland michael.hofmann@kispi.uzh.ch.
authors.forename: Michael
authors.initials: M
authors.lastname: Hofmann
authors.affiliation: Department of Congenital Cardiovascular Surgery, University Children's Hospital Zurich, Zurich, Switzerland.
authors.forename: Hitendu
authors.initials: H
authors.lastname: Dave
authors.affiliation: Department of Congenital Cardiovascular Surgery, University Children's Hospital Zurich, Zurich, Switzerland.
authors.forename: Michael
authors.initials: M
authors.lastname: Hübler
authors.affiliation: Division of Paediatric Cardiology, University Children's Hospital Zurich, Zurich, Switzerland.
authors.forename: Oliver
authors.initials: O
authors.lastname: Kretschmar
mesh_terms: D006328:Cardiac Catheterization; D002675:Child, Preschool; D017548:Echocardiography, Transesophageal; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D058386:Mitral Valve Annuloplasty / Q000379:methods*; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D011474:Prosthesis Design
keywords: Congenital mitral valve stenosis; Hybrid approach; Melody® valve implantation; Mitral valve replacement