Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-28T12:20:58.039Z Has data issue: false hasContentIssue false
  • English
  • Français

Transcatheter pulmonary valve insertion, expanded use and future directions*

Published online by Cambridge University Press:  09 January 2014

Jeremy M. Ringewald  and
Elsa J. Suh
Jeremy M. Ringewald*
Affiliation:
Division of Pediatric Cardiology, The Congenital Heart Institute of Florida (CHIF), St. Joseph's Children's Hospital of Tampa, Pediatric Cardiology Associates/Pediatrix Medical Group, Saint Petersburg, Florida, United States of America
Elsa J. Suh
Affiliation:
Division of Pediatric Cardiology, The Congenital Heart Institute of Florida (CHIF), St. Joseph's Children's Hospital of Tampa, Pediatric Cardiology Associates/Pediatrix Medical Group, Saint Petersburg, Florida, United States of America
*
Correspondence to: Jeremy M. Ringewald, MD, Pediatric Cardiology Associates, 3003 W. Dr. MLK Jr. BLVD, Tampa, FL 33607. Tel: 8135548701; Fax: 8138700100; Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Transcatheter pulmonary valve replacement with the Melody® valve is an accepted alternative to surgical replacement of the pulmonary valve for some patients and therefore a complementary strategy in the long-term management of several groups of patients with congenital heart disease. It allows at least extending the time between sternotomies and possibly improving late outcomes. With a combined surgical and percutaneous approach, late morbidity for some of these patients will likely be diminished. This manuscript will review the current expanded applications for this technology, demonstrate several examples of its use and discuss future directions for this evolving equipment.

Keywords

Right ventricular outflow tract dysfunctionright ventricle to pulmonary artery conduitsurgical pulmonary valve replacementpulmonary artery stentingtranscatheter pulmonary valve replacement
Type
Original Article
Information
Cardiology in the Young , Volume 23 , Issue 6: HeartWeek 2013 , December 2013 , pp. 910 - 914
Copyright
Copyright © Cambridge University Press 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Presented at “The Birth of Heart Surgery: Lessons Learned from Tetralogy – Past, Present and Future” Dinner Symposium Sponsored by Johns Hopkins Medicine and All Children's Hospital, Thursday, February 21, 2013, at The Sixth World Congress of Paediatric Cardiology and Cardiac Surgery, Cape Town International Convention Centre, Cape Town, South Africa, February 17–22, 2013. A video of this presentation can be viewed at the following hyperlink: [http://www.allkids.org/wcpccs].

References

1.Bonhoeffer, P, Boudjemline, Y, Saliba, Z, et al. Percutaneous replacement of pulmonary valve in a right-ventricle to pulmonary-artery prosthetic conduit with valve dysfunction. Lancet 2000; 356: 1403–1405.Google Scholar
2.Zahn, EM, Hellenbrand, WE, Lock, JE, McElhinney, DB. Implantation of the Melody transcatheter pulmonary valve in patients with dysfunctional right ventricular outflow tract conduits: early results from the US clinical trial. J Am Coll Cardiol 2009; 54: 1722–1729.CrossRefGoogle Scholar
3.Nordmeyer, J, Lurz, P, Tsang, VT, et al. Effective transcatheter valve implantation after pulmonary homograft failure: a new perspective on the Ross operation.. J Thorac Cardiovasc Surg 2009; 138: 84–88.Google Scholar
4.John, BJ. St Joseph's Children's Hospital. Tampa, FL. Personal communication.Google Scholar
5.Momenah, TS, El Oakley, R, Al Najashi, K, Khoshhal, S, Al Qethamy, H, Bonhoeffer, P. Extended application of percutaneous pulmonary valve implantation. J Am Coll Cardiol 2009; 53: 1859–1863.Google Scholar
6.Boudjemline, Y, Brugada, G, Van-Aerschot, I, et al. Outcomes and safety of transcatheter pulmonary valve replacement in patients with large patched right ventricular outflow tracts. Arch Cardiovasc Dis 2012; 105: 404–413.Google Scholar
7.Gillespie, MJ, Dori, Y, Harris, MA, Sathanandam, S, Glatz, AC, Rome, JJ. Bilateral branch pulmonary artery Melody valve implantation for treatment of complex right ventricular outflow tract dysfunction in a high-risk patient. Circ Cardiovasc Interv 2011; 4: e21–e23.CrossRefGoogle Scholar
8.Hasan, BS, McElhinney, DB, Brown, DW, et al. Short-term performance of the transcatheter Melody valve in high-pressure hemodynamic environments in the pulmonary and systemic circulations. Circ Cardiovasc Interv 2011; 4: 615–620.Google Scholar
9.Roberts, PA, Boudjemline, Y, Cheatham, JP, et al. Percutaneous tricuspid valve replacement in congenital and acquired heart disease. J Am Coll Cardiol 2011; 58: 117–122.Google Scholar
10.Ringewald, JM, Suh, EJ. Transcatheter pulmonary valve insertion: when, how, and why. Cardiol Young 2012; 22: 696–701.CrossRefGoogle ScholarPubMed
11.Geva, T. Repaired Tetralogy of Fallot: the roles of cardiovascular magnetic resonance in evaluating pathophysiology and for pulmonary valve replacement decision support. J Cardiovasc Magn Reson 2011; 13: 1–24.Google Scholar
12.Biermann, D, Schönebeck, J, Rebel, M, Weil, J, Dodge-Khatami, A. Left coronary artery occlusion after percutaneous pulmonary valve implantation. Ann Thorac Surg 2012; 94: 7–9.Google Scholar
13.Gillespie, MJ, Rome, JJ, Levi, DS, et al. Melody valve implant within failed bioprosthetic valves in the pulmonary position: a multicenter experience. Circ Cardiovasc Interv 2012; 5: 862–870.Google Scholar
14. Medtronic. Melody TPV Program Overview. Supplied by Mr. Gerard Forest, Medtronic, Minneapolis, MN. November 2012.Google Scholar
15.Cribier, A. Development of transcatheter aortic valve implantation (TAVI): a 20-year odyssey. Arch Cardiovasc Dis 2012; 105: 146–152.Google Scholar
16.McElhinney, DB, Cheatham, JP, Jones, TK, et al. Stent fracture, valve dysfunction, and right ventricular outflow tract reintervention after transcatheter pulmonary valve implantation: patient-related and procedural risk factors in the US Melody® valve trial. Circ Cardiovasc Interv 2011; 4: 602–614.Google Scholar
17.Butera, G, Milanesi, O, Spadoni, I, et al. Melody transcatheter pulmonary valve implantation. Results from the registry of the Italian society of pediatric cardiology. Catheter Cardiovasc Interv 2013; 81: 310–316.Google Scholar