open access

Vol 12, No 1 (2017)
Cardiac Surgery
Published online: 2017-03-03
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Pediatric Melody mitral valve replacement — an alternative to non-reparable left atrio-ventricular valve in children

Ireneusz Haponiuk, Maciej Chojnicki, Radosław Jaworski, Mariusz Steffens, Konrad Paczkowski, Aneta Szofer-Sendrowska, Marta Paśko-Majewska, Katarzyna Gierat-Haponiuk, Anna Romanowicz, Wiktor Szymanowicz
DOI: 10.5603/FC.2017.0014
·
Folia Cardiologica 2017;12(1):104-108.

open access

Vol 12, No 1 (2017)
Cardiac Surgery
Published online: 2017-03-03

Abstract

We present a case of emergency mitral valve replacement with the first — to the best of our knowledge — use of Melody balloon expandable stented bioprosthesis in a 2-years-old patient with acute endocarditis, subsequent mitral (bicuspid) valve incompetence after aggressive infective destruction, with the symptoms of critical multiorgan failure. The patient with a history of rapid deterioration after 2-weeks-long septicemia in the course of acute endocarditis was operated for life-saving indications. Melody valve was expanded over 16 mm TyShak balloon and implanted into a mitral position (Melody-MVR) with good result. Based on actual knowledge concerning heart valves reconstructions and institutional experience we conclude that infected mitral valve in children should be primary repaired, nevertheless Melody valve could be reasonable considered as a mitral prosthesis in patients with non-reparable conditions.

Abstract

We present a case of emergency mitral valve replacement with the first — to the best of our knowledge — use of Melody balloon expandable stented bioprosthesis in a 2-years-old patient with acute endocarditis, subsequent mitral (bicuspid) valve incompetence after aggressive infective destruction, with the symptoms of critical multiorgan failure. The patient with a history of rapid deterioration after 2-weeks-long septicemia in the course of acute endocarditis was operated for life-saving indications. Melody valve was expanded over 16 mm TyShak balloon and implanted into a mitral position (Melody-MVR) with good result. Based on actual knowledge concerning heart valves reconstructions and institutional experience we conclude that infected mitral valve in children should be primary repaired, nevertheless Melody valve could be reasonable considered as a mitral prosthesis in patients with non-reparable conditions.

Get Citation

Keywords

Melody valve, pediatric mitral valve replacement, acute endocarditis, pediatric cardiac surgery

About this article
Title

Pediatric Melody mitral valve replacement — an alternative to non-reparable left atrio-ventricular valve in children

Journal

Folia Cardiologica

Issue

Vol 12, No 1 (2017)

Pages

104-108

Published online

2017-03-03

DOI

10.5603/FC.2017.0014

Bibliographic record

Folia Cardiologica 2017;12(1):104-108.

Keywords

Melody valve
pediatric mitral valve replacement
acute endocarditis
pediatric cardiac surgery

Authors

Ireneusz Haponiuk
Maciej Chojnicki
Radosław Jaworski
Mariusz Steffens
Konrad Paczkowski
Aneta Szofer-Sendrowska
Marta Paśko-Majewska
Katarzyna Gierat-Haponiuk
Anna Romanowicz
Wiktor Szymanowicz

References (10)
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  7. Takahashi H, Kadowaki T, Maruo A, et al. Mid-term results of mitral valve repair with autologous pericardium in pediatric patients. J Heart Valve Dis. 2014; 23(3): 302–309.
  8. McElhinney DB, Benson LN, Eicken A, et al. Infective endocarditis after transcatheter pulmonary valve replacement using the Melody valve: combined results of 3 prospective North American and European studies. Circ Cardiovasc Interv. 2013; 6(3): 292–300.
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