Bicaval Medtronic Melody valve implantation for treatment of severe mitral regurgitation following the Mustard repair: A case report

Catheter Cardiovasc Interv. 2018 Jan 1;91(1):86-89. doi: 10.1002/ccd.27373. Epub 2017 Oct 25.

Abstract

We present a case of successful bicaval Melody valve implantation to treat severe mitral regurgitation in a 44-year-old man with d-transposition of the great arteries, repaired via a Mustard operation. The patient sustained injury to the anterior mitral valve leaflet during laser extraction of a ventricular pacing lead resulting in acute, severe, symptomatic mitral regurgitation. The presence of systemic venous baffles of similar caliber to right ventricular outflow tract conduits allowed for implantation of Melody valves within each baffle. The patient remains asymptomatic with excellent Melody valve function 14 months post procedure.

Keywords: congenital heart disease; melody valve; mitral valve; mustard procedure.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arterial Switch Operation* / adverse effects
  • Balloon Valvuloplasty
  • Device Removal / adverse effects*
  • Echocardiography, Doppler, Color
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Heart Valve Prosthesis*
  • Humans
  • Male
  • Mitral Valve / diagnostic imaging
  • Mitral Valve / physiopathology
  • Mitral Valve / surgery*
  • Mitral Valve Insufficiency / diagnostic imaging
  • Mitral Valve Insufficiency / etiology
  • Mitral Valve Insufficiency / physiopathology
  • Mitral Valve Insufficiency / surgery*
  • Pacemaker, Artificial / adverse effects
  • Phlebography
  • Prosthesis Design
  • Radiography, Interventional
  • Recovery of Function
  • Severity of Illness Index
  • Transposition of Great Vessels / physiopathology
  • Transposition of Great Vessels / surgery*
  • Treatment Outcome