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Updated: Jun 5, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Successful subxyphoid hybrid approach for placement of a Melody percutaneous pulmonary valve
Kathleen E Simpson1, Charles B Huddleston, Susan Foerster
1Department of Cardiology, Washington University, Saint Louis, MO 63110, USA. simpson_k@kids.wustl.edu
Abstract:
A variety of complex congenital heart defects in the pediatric population involve placement of a right ventricle to pulmonary artery conduit as part of surgical repair. With the advent of percutaneous pulmonary valve implantation (PPVI), patients may avoid the risks of serial surgical reinterventions as the PPVI acts to prolong the life of a previously placed conduit. As the experience with PPVI is growing, new challenges arise from complicated anatomy and severe conduit stenosis. We present a case of a 16-year-old male who underwent successful pulmonary valve placement with a Melody valve via a subxyphoid hybrid approach after an unsuccessful attempt at percutaneous placement.
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