Key result
Percutaneous implantation of a Melody pulmonary valve in the tricuspid position was successfully performed in a 30-year-old female with severe homograft stenosis after a Fontan-Björk operation.
Case Report (n=1)
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Percutaneous pulmonary valve implantation in the tricuspid position is a feasible treatment for severe homograft stenosis in adult patients with a history of a Fontan-Björk operation.
Background A 30-year-old female with tricuspid valve atresia, ventricular septal defect, and atrial septal defect had a neonatal modified Blalock Taussig shunt and a Fontan-Björk operation performed at five years of age. She did well initially but progressively developed signs of systemic congestion due to severe homograft stenosis and underwent successful percutaneous implantation of a Melody® pulmonary valve (Medtronic, Minneapolis, MN, USA) in the “tricuspid” position.
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Mendes et al. (2016) conducted a case report in Tricuspid valve atresia, ventricular septal defect, atrial septal defect, severe homograft stenosis (n=1). Percutaneous implantation of a Melody pulmonary valve in the tricuspid position was evaluated on Procedural success. Percutaneous implantation of a Melody pulmonary valve in the tricuspid position was successfully performed in a 30-year-old female with severe homograft stenosis after a Fontan-Björk operation.
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