Key result
Surgical implantation of a modified Melody stent-mounted valved bovine jugular vein graft in the mitral position is a legitimate valve replacement option in small children.
The modified Melody valve is highlighted as a legitimate valve replacement option for small children requiring atrioventricular valve replacement.
Atrioventricular valve replacement is considered a last resort in children with severe valvar dysfunction not amenable to repair, thereby asking for the impossible: a valve that is small enough to fit the patient but large enough to allow unobstructed inflow in a period of rapid somatic growth. Since the first description of the surgical implantation of a modified Melody stent-mounted valved bovine jugular vein graft (Medtronic, Minneapolis, Minn) in the mitral position in children,1 a large body of evidence has arisen proving its legitimacy as a valve replacement option in small children.
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Haller et al. (2020) conducted an editorial in Severe valvar dysfunction. Melody stent-mounted valved bovine jugular vein graft was evaluated. Surgical implantation of a modified Melody stent-mounted valved bovine jugular vein graft in the mitral position is a legitimate valve replacement option in small children.