Melody Valve Implantation in the Tricuspid Position After Pediatric Heart Transplantation—A Case Report

• Type of Material: Article
• Authors: Ashish Saini, Emory University; Dennis W. Kim, Emory University; Kevin Maher, Emory University; Shriprasad Deshpande, Emory University
• Language: English
• Date: 2024-05
• Publisher: Elsevier
• Publication Version: Final Published Version
• Copyright Statement: © 2024 The Author(s). Published by Elsevier Inc. on behalf of the Society for Cardiovascular Angiography and Interventions Foundation.
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): https://www.jscai.org/article/S2772-9303(24)00140-6/fulltext#secsectitle0010
• Title of Journal or Parent Work: JSCAI Case Report
• Volume: 3
• Issue: 5
• Start Page: 101354
• Grant/Funding Information: This work was not supported by funding agencies in the public, commercial, or not-for-profit sectors.
• Keywords: tricuspid regurgitation; Melody valve; pediatric heart transplantation; bioprosthetic valve; case report
• Research Categories: Engineering, Biomedical; Health Sciences, Medicine and Surgery

Abstract

Tricuspid regurgitation (TR) is common after a heart transplant and is associated with worse clinical outcomes. The incidence ranges from 34% immediately after transplant to 20% by 10 years. Most patients can be managed medically; however, severe TR and symptomatic right heart failure warrant tricuspid valve replacement. The use of Melody transcatheter pulmonary valve in the tricuspid position is previously described. We report a unique case of posttransplant severe TR treated with surgical bioprosthetic tricuspid valve replacement who subsequently underwent successful transcatheter Melody valve placement in tricuspid position for progressive bioprosthetic valve stenosis with 11 years of follow-up.