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Melody valve-in-valve implantation in the tricuspid position through a Fontan conduit fenestration

Patients with single right ventricle and tricuspid regurgitation have increased morbidity and mortality rates. The outcomes of surgical tricuspid valve repair and replacement are dismal. Although some centers prefer valve replacement with a bioprosthetic valve in the tricuspid position for the pedia...

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Autores principales: Duarte, Daniel, Prieto, Lourdes Rosa, Suntharos, Patcharapong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564403/
https://www.ncbi.nlm.nih.gov/pubmed/36246762
http://dx.doi.org/10.4103/apc.apc_71_21
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author Duarte, Daniel
Prieto, Lourdes Rosa
Suntharos, Patcharapong
author_facet Duarte, Daniel
Prieto, Lourdes Rosa
Suntharos, Patcharapong
author_sort Duarte, Daniel
collection PubMed
description Patients with single right ventricle and tricuspid regurgitation have increased morbidity and mortality rates. The outcomes of surgical tricuspid valve repair and replacement are dismal. Although some centers prefer valve replacement with a bioprosthetic valve in the tricuspid position for the pediatric population, these valves have limited longevity and will eventually need to be replaced. Unfortunately, single ventricle patients are fragile and unlikely to tolerate a second replacement. Percutaneous valve-in-valve (ViV) implantation is an acceptable alternative with low morbidity and mortality. Studies have also shown acceptable short- and mid-term outcomes. We report a case of Melody ViV placement in the tricuspid position in a patient with hypoplastic left heart syndrome through the fenestration of a Fontan conduit.
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spelling pubmed-95644032022-10-15 Melody valve-in-valve implantation in the tricuspid position through a Fontan conduit fenestration Duarte, Daniel Prieto, Lourdes Rosa Suntharos, Patcharapong Ann Pediatr Cardiol Case Report Patients with single right ventricle and tricuspid regurgitation have increased morbidity and mortality rates. The outcomes of surgical tricuspid valve repair and replacement are dismal. Although some centers prefer valve replacement with a bioprosthetic valve in the tricuspid position for the pediatric population, these valves have limited longevity and will eventually need to be replaced. Unfortunately, single ventricle patients are fragile and unlikely to tolerate a second replacement. Percutaneous valve-in-valve (ViV) implantation is an acceptable alternative with low morbidity and mortality. Studies have also shown acceptable short- and mid-term outcomes. We report a case of Melody ViV placement in the tricuspid position in a patient with hypoplastic left heart syndrome through the fenestration of a Fontan conduit. Wolters Kluwer - Medknow 2022 2022-08-19 /pmc/articles/PMC9564403/ /pubmed/36246762 http://dx.doi.org/10.4103/apc.apc_71_21 Text en Copyright: © 2022 Annals of Pediatric Cardiology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Duarte, Daniel
Prieto, Lourdes Rosa
Suntharos, Patcharapong
Melody valve-in-valve implantation in the tricuspid position through a Fontan conduit fenestration
title Melody valve-in-valve implantation in the tricuspid position through a Fontan conduit fenestration
title_full Melody valve-in-valve implantation in the tricuspid position through a Fontan conduit fenestration
title_fullStr Melody valve-in-valve implantation in the tricuspid position through a Fontan conduit fenestration
title_full_unstemmed Melody valve-in-valve implantation in the tricuspid position through a Fontan conduit fenestration
title_short Melody valve-in-valve implantation in the tricuspid position through a Fontan conduit fenestration
title_sort melody valve-in-valve implantation in the tricuspid position through a fontan conduit fenestration
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9564403/
https://www.ncbi.nlm.nih.gov/pubmed/36246762
http://dx.doi.org/10.4103/apc.apc_71_21
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