Melody Valve Implantation Using a Double-Balloon “Flower-Blossom” Technique

摘要

Melody Valve implantation is an established procedure. However, placing the valve in patients with very short conduits can be challenging. While folding of the Melody valve stent has been described by Jounes Boudjemine when a shorter valve stent is required,1 this may not necessarily be appropriate in patients who also have somewhat small branch pulmonary arteries and distal conduit stentosis, rendering the use of a single balloon as a less suitable technique. Placing a stent on two balloons for a distal conduit stenosis was originally described by Oliver Stumper.2 In this report we describe the first case of a Melody Valve being implanted using this technique over two balloons simultaneously placed in the right and left pulmonary arteries.