Use of a melody pulmonary valve in transcatheter valve-in-valve replacement for tricuspid valve bioprosthesis degeneration

David M. Filsoof, David F. Snipelisky, Brian P. Shapiro

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Bioprosthetic heart valves can degenerate and fail over time. Repeat surgery as a means of replacement increases morbidity and mortality rates, and some patients are not candidates for reoperation. A newer treatment, percutaneous transcatheter valve-in-valve implantation, might delay or substitute for invasive procedures. We present the case of a 51-year-old woman, a poor candidate for surgery who had prosthetic tricuspid valve degeneration and stenosis. We successfully performed valve-in-valve placement of a Melody® valve, using a procedure originally intended to treat pulmonary valve conduit obstruction or regurgitation. To our knowledge, this is among the first case reports to describe the use of the Melody pulmonary valve in transcatheter valve-in-valve replacement for prosthetic tricuspid stenosis that was otherwise not correctable. Additional data and longer follow-up periods are necessary to gain an understanding of ideal indications and selection of patients for the percutaneous transcatheter treatment of tricuspid valve stenosis.

Original languageEnglish (US)
Pages (from-to)511-513
Number of pages3
JournalTexas Heart Institute Journal
Volume41
Issue number5
DOIs
StatePublished - Sep 1 2014

Keywords

  • Heart valve diseases/pathology
  • Heart valve prosthesis implantation/instrumentation/methods/trends
  • Minimally invasive/methods
  • Surgical procedures
  • Treatment outcome
  • Tricuspid valve insufficiency
  • Tricuspid valve stenosis/ therapy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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