Key result
Simplified surgical-hybrid Melody valve implantation in LAVV position yields good immediate results in a small child.
Why the study?
Children with left atrioventricular valve disease not amenable to repair have suboptimal surgical reconstruction results and poor outcomes with valve replacement, prompting exploration of new therapeutic options.
Case Report (n=1)
A simplified surgical-hybrid Melody valve implantation in the left atrioventricular valve position represents a feasible therapeutic option for pediatric patients with LAVV disease not amenable to repair.
May extend options for complex pediatric LAVV disease; leaves open durability and safety in larger cohorts.
Children suffering from left atrioventricular valve (LAVV) disease not amenable to repair represent a significant challenge. The results of surgical reconstruction are not optimal. Valve replacement as an alternative is associated with poor results. The surgical-hybrid approach with implantation of a stented biological valve (bovine jugular vein graft, Melody valve) seems to represent a new therapeutic option. Here we demonstrate our case, the consideration and the approach to extreme clinical findings in a small child. We describe a simplified surgical-hybrid Melody valve implantation in a LAVV position. The technique of implantation is relatively simple and the immediate postoperative result very good.
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Hofmann et al. (2014) conducted a case report in Left atrioventricular valve (LAVV) disease (n=1). Simplified surgical-hybrid Melody valve implantation was evaluated on Immediate postoperative result. Simplified surgical-hybrid Melody valve implantation in the left atrioventricular valve position was technically simple and yielded a very good immediate postoperative result in a small child.
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