Hybrid approach for harmony transcatheter pulmonary valve replacement |
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| Authors: | Kamel Shibbani MD Jamil Aboulhosn MD Daniel Levi MD Bassel Mohammad Nijres MD Benjamin Blais MD Mohsen Karimi MD Glen Van Arsdell MD Osamah Aldoss MD |
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| Affiliation: | 1. University of Iowa Stead Family Children's Hospital, Iowa City, Iowa, USA;2. Mattel Children's Hospital, University of California Los Angeles, Los Angeles, California, USA |
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| Abstract: | The Harmony™ Transcatheter Pulmonary Valve (Medtronic) was recently approved by the Food and Drug Administration for transcatheter pulmonary valve replacement in native right ventricular outflow tracts. Despite this milestone, some patients have main pulmonary arteries that are severely dilated and continue to require surgical pulmonary valve replacement. The hybrid approach combines surgical creation of a landing zone, transcatheter valve deployment, and suture stabilization of the implanted valve. In this case series, we report the first use of a hybrid approach for Harmony™ transcatheter pulmonary valve replacement. Two cases are reported with varying approaches for surgical creation of a landing zone followed by successful placement of a Harmony™ valve. |
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| Keywords: | congenital heart disease pediatrics percutaneous intervention pulmonary valve disease (PVD) transcatheter valve implantation (TVI) |
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