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Two melodies in concert: Transcatheter double‐valve replacement
Author(s) -
Jux Christian,
Akintuerk Hakan,
Schranz Dietmar
Publication year - 2011
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.23421
Subject(s) - medicine , tetralogy of fallot , ventricular outflow tract , cardiology , tricuspid valve , pulmonary valve , percutaneous , surgery , heart disease
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. © 2011 Wiley Periodicals, Inc.