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Updated: Jan 21, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Gradient over Melody valve in left AV valve position reduces with beta blockade
T Krasemann1, P van de Woestijne2, G van den Berg1
1Department of Pediatrics, Division of Pediatric Cardiology, Sophia Kinderziekenhuis, Erasmus MC, Rotterdam, The Netherlands.
Abstract:
The Melody valve, designed for implantation into the pulmonary outflow tract, can also be used to treat the pathology of atrioventricular (AV) valves. Increasing gradients are seen as an indication for re-dilating the valve. Our case demonstrates the heart rate dependency of the gradient across a Melody implanted in the left AV valve position in an infant. Beta blockers were used to lower both heart rate and gradient.
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