Key result
A modified valve preparation technique using a polytetrafluoroethylene (PTFE) tube graft as a sewing cuff was reported for the Melody valve in the mitral position in small children.
Why the study?
The Melody valve has improved outcomes in small children with critical mitral valve disease, but valve preparation techniques vary and require optimization.
Describes a modified preparation technique using a PTFE tube graft as a sewing cuff for the Melody valve in the mitral position in small children.
May enable Melody valve use in small children; leaves open durability and outcome data.
Introduction of the Melody valve (Medtronic) as a means to replace a mitral valve has improved clinical outcomes in small children with critical mitral valve disease.1,2 The Melody valve is typically prepared by sewing a ring of bovine pericardial patch as a valve cuff with some form of wedge resection of the top of the stent to avoid left ventricular outflow tract obstruction.2 We reported our modified valve preparation technique using a polytetrafluoroethylene (PTFE) tube graft (W. L. Gore & Associates, Inc) as a sewing cuff.
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Kobayashi et al. (2022) studied critical mitral valve disease. Modified Melody valve preparation technique using a PTFE tube graft was evaluated. A modified valve preparation technique using a polytetrafluoroethylene (PTFE) tube graft as a sewing cuff was reported for the Melody valve in the mitral position in small children.
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