Perventricular Implantation of Melody Valve in Child With Pulmonary Hypertension After a Potts Shunt Tomasz Mroczek, MD, PhD, Marcin Demkow, MD, PhD,

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Perventricular Implantation of Melody Valve in Child With Pulmonary Hypertension After a Potts Shunt Tomasz Mroczek, MD, PhD, Marcin Demkow, MD, PhD, Tomasz Moszura, MD, PhD, Aleksandra Morka, MD, PhD, Janusz Skalski, MD, PhD The Annals of Thoracic Surgery Volume 104, Issue 1, Pages e67-e69 (July 2017) DOI: 10.1016/j.athoracsur.2017.01.084 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (Left image) Angiographic computed tomographic scan demonstrating 8-mm Potts shunt in 12-kg girl with repaired truncus arteriosus communis (TAC) and pulmonary arterial hypertension (PAH). (Right image) Angiography during procedure of Melody valve implantation demonstrating distended pulmonary artery with branches and Potts anastomosis with right to left shunt to descending aorta. The Annals of Thoracic Surgery 2017 104, e67-e69DOI: (10.1016/j.athoracsur.2017.01.084) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Angiogram showing the moment of perventricular Melody 22 mm valve deployment in 12-kg child with pulmonary arterial hypertension (PAH) after Potts shunt into pulmonary xenograft (A, anteroposterior aspect; B, lateral aspect). The Annals of Thoracic Surgery 2017 104, e67-e69DOI: (10.1016/j.athoracsur.2017.01.084) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Echocardiograms demonstrating reverse remodeling of both ventricles at 2-year follow-up after Potts shunt and Melody valve implantation (left image) into pulmonary position in 12-kg child with truncus arteriosus communis (TAC) in whom pulmonary arterial hypertension (PAH) developed. (Right image) Echocardiogram demonstrating disproportion between right and left ventricle before intervention. The Annals of Thoracic Surgery 2017 104, e67-e69DOI: (10.1016/j.athoracsur.2017.01.084) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions