title: Hybrid Approach to Pulmonary Valve Replacement with Melody Prosthesis Following Pulmonary Banding.
abstract: We report the case of a 27-year-old Jehovah's Witness patient with severe pulmonary insufficiency and right ventricular dilatation 16 years after primary repair, who sought transcatheter therapy as a means to avoid surgery and the risk of blood product administration. A hybrid procedure involving pulmonary artery banding to a diameter amenable to fixation of a Melody valve (Medtronic Inc.) via trans-ventricular puncture was performed.
authors.affiliation: Houston Methodist DeBakey Heart and Vascular Center, Houston, Texas.
authors.forename: Walid K
authors.initials: WK
authors.lastname: Abu Saleh
authors.affiliation: Houston Methodist DeBakey Heart and Vascular Center, Houston, Texas.
authors.forename: Chun H
authors.initials: CH
authors.lastname: Lin
authors.affiliation: Department of Pediatrics, University of Texas Health Sciences Center, Houston, Texas.
authors.forename: John P
authors.initials: JP
authors.lastname: Breinholt
authors.affiliation: Houston Methodist DeBakey Heart and Vascular Center, Houston, Texas.
authors.forename: Basel
authors.initials: B
authors.lastname: Ramlawi
mesh_terms: D000328:Adult; D004108:Dilatation, Pathologic; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D033221:Jehovah's Witnesses; D011651:Pulmonary Artery / Q000601:surgery*; D011664:Pulmonary Valve / Q000601:surgery*; D011665:Pulmonary Valve Insufficiency / Q000601:surgery*; D012720:Severity of Illness Index; D016896:Treatment Outcome