open access

Vol 75, No 9 (2017)
Original articles - new methods
Published online: 2017-05-18
Submitted: 2017-01-13
Accepted: 2017-03-21
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Paediatric Melody® mitral valve replacement in acute endocarditis — alternative surgical-hybrid technique

Ireneusz Haponiuk, Maciej Chojnicki, Radosław Jaworski, Mariusz Steffens, Konrad Paczkowski, Aneta Szofer-Sendrowska, Marta Paśko-Majewska, Katarzyna Gierat-Haponiuk, Anna Romanowicz, Wiktor Szymanowicz
DOI: 10.5603/KP.a2017.0092
·
Kardiol Pol 2017;75(9):845-849.

open access

Vol 75, No 9 (2017)
Original articles - new methods
Published online: 2017-05-18
Submitted: 2017-01-13
Accepted: 2017-03-21

Abstract

Background and aim: Acute endocarditis (AE) is still rare disease in the paediatric population; nevertheless, the children suffering from AE usually need heart valve repair or replacement in emergency settings.

Methods: We present a case of emergency mitral valve replacement with the use of Melody balloon expandable stented bioprosthesis in a two-year-old patient with AE and subsequent mitral (bicuspid) valve incompetence after aggressive infective destruction with the symptoms of critical multi-organ failure.

Results: The patient, with a history of rapid deterioration after two-week-long septicaemia in the course of AE, was operated urgently after initial antibiotic treatment because of huge vegetations into the mitral valve orifice. A Melody TVP 22 valve was expanded over a 16-mm TyShak balloon and implanted into a mitral position (Melody-MVR) with good result.

Conclusions: Based on current knowledge concerning heart valve reconstructions and institutional experience, we conclude that infected mitral valve in children should be primarily repaired; nevertheless, the Melody valve could be reasonably con­sidered as a mitral prosthesis in such conditions.

Abstract

Background and aim: Acute endocarditis (AE) is still rare disease in the paediatric population; nevertheless, the children suffering from AE usually need heart valve repair or replacement in emergency settings.

Methods: We present a case of emergency mitral valve replacement with the use of Melody balloon expandable stented bioprosthesis in a two-year-old patient with AE and subsequent mitral (bicuspid) valve incompetence after aggressive infective destruction with the symptoms of critical multi-organ failure.

Results: The patient, with a history of rapid deterioration after two-week-long septicaemia in the course of AE, was operated urgently after initial antibiotic treatment because of huge vegetations into the mitral valve orifice. A Melody TVP 22 valve was expanded over a 16-mm TyShak balloon and implanted into a mitral position (Melody-MVR) with good result.

Conclusions: Based on current knowledge concerning heart valve reconstructions and institutional experience, we conclude that infected mitral valve in children should be primarily repaired; nevertheless, the Melody valve could be reasonably con­sidered as a mitral prosthesis in such conditions.

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Keywords

Melody® valve, paediatric mitral valve replacement, acute endocarditis, paediatric cardiac surgery

About this article
Title

Paediatric Melody® mitral valve replacement in acute endocarditis — alternative surgical-hybrid technique

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 75, No 9 (2017)

Pages

845-849

Published online

2017-05-18

DOI

10.5603/KP.a2017.0092

Bibliographic record

Kardiol Pol 2017;75(9):845-849.

Keywords

Melody® valve
paediatric mitral valve replacement
acute endocarditis
paediatric cardiac surgery

Authors

Ireneusz Haponiuk
Maciej Chojnicki
Radosław Jaworski
Mariusz Steffens
Konrad Paczkowski
Aneta Szofer-Sendrowska
Marta Paśko-Majewska
Katarzyna Gierat-Haponiuk
Anna Romanowicz
Wiktor Szymanowicz

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