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Melody valve within a dysfunctional freestyle bioprosthesis: Yes, you can fit a round peg in a calcified hole
Author(s) -
Parekh Dhaval R.,
Krajcer Zvonimir
Publication year - 2017
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.27140
Subject(s) - medicine , cardiology , stenosis , endocarditis , regurgitation (circulation) , balloon dilation , pulmonary valve , dilation (metric space) , balloon , surgery , mathematics , combinatorics
Key Points Transcatheter pulmonary valve implantation (TPVI) within a failed bioprosthetic valve is safe and effective Coronary artery compression is a potential risk, requiring careful preimplantation balloon dilation testing Prestenting is required for TPVI in stentless conduits Improvements in right ventricular volume, pressure, pulmonary stenosis, and regurgitation can be maintained in the intermediate term Long‐term risk for Melody valve endocarditis and valve dysfunction necessitates careful monitoring