# A Novel Modification of the Melody Valve in a Short Right Ventricle-Pulmonary Artery Conduit: A Case Report

## TL;DR

A modified Melody valve was used in a child with a short heart conduit to prevent artery blockage after a common heart defect repair.

## Contribution

A novel folded Melody valve with a stent was used in a short right ventricle-pulmonary artery conduit in a pediatric patient.

## Key findings

- The folded Melody valve and stent combination was successfully implanted in a pediatric patient.
- This approach may prevent pulmonary artery branch occlusion in patients with short conduits.
- The modification offers a potential solution for pulmonary insufficiency after tetralogy of Fallot repair.

## Abstract

Pulmonary insufficiency often follows the surgical repair of tetralogy of Fallot, leading to adverse outcomes. Young patients with short right ventricle-pulmonary artery conduits are at risk of pulmonary artery branch occlusion when a traditional Melody valve (Medtronic) is used. We report a novel case of a folded Melody valve implanted with a simultaneous stent in a pediatric patient to address challenges posed by a short right ventricle-pulmonary artery conduit.