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Percutaneous transhepatic and transseptal dilatation of a surgically implanted Melody® Valve in the mitral position in a 2-year-old child


Pediatrics Department, Pediatric Heart Institute, Research Institute Hospital 12 de Octubre (i+12), University Hospital 12 de Octubre, Madrid, Spain

Correspondence Address:
Dr. Leticia Albert De La Torre
Pediatrics Department, Pediatric Heart Institute, Research Institute Hospital 12 de Octubre (i+12), University Hospital 12 de Octubre, Madrid
Spain
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.apc_200_21

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Year : 2022  |  Volume : 15  |  Issue : 2  |  Page : 183-186

 

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The use of the Melody® (Medtronic, Minneapolis, MN, USA) biological prosthesis in mitral position has shown acceptable short-term results. Furthermore, it allows its expansion with a balloon when the patient grows up, and this procedure can be performed by a venous catheterization through transseptal approach through an interatrial communication or puncturing the septum. Patients with complex congenital heart disease undergoing multiple surgical and percutaneous interventions may present with vascular complications such as thrombosis of the femoral venous system that make percutaneous access impossible. In this situation, the transhepatic approach is a very useful alternative to access the heart.






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Pediatrics Department, Pediatric Heart Institute, Research Institute Hospital 12 de Octubre (i+12), University Hospital 12 de Octubre, Madrid, Spain

Correspondence Address:
Dr. Leticia Albert De La Torre
Pediatrics Department, Pediatric Heart Institute, Research Institute Hospital 12 de Octubre (i+12), University Hospital 12 de Octubre, Madrid
Spain
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.apc_200_21

Rights and Permissions

The use of the Melody® (Medtronic, Minneapolis, MN, USA) biological prosthesis in mitral position has shown acceptable short-term results. Furthermore, it allows its expansion with a balloon when the patient grows up, and this procedure can be performed by a venous catheterization through transseptal approach through an interatrial communication or puncturing the septum. Patients with complex congenital heart disease undergoing multiple surgical and percutaneous interventions may present with vascular complications such as thrombosis of the femoral venous system that make percutaneous access impossible. In this situation, the transhepatic approach is a very useful alternative to access the heart.






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