{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T07:05:40Z","timestamp":1761807940022},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,12,5]],"date-time":"2014-12-05T00:00:00Z","timestamp":1417737600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>This article sought to describe a new modification of the Melody valve that allows percutaneous pulmonary valve implantation (PPVI) in complex outflow tracts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>PPVI has been validated as a valuable therapeutic option for the management of patients with dysfunctional right ventricular outflow tracts (RVOT). However, complex and unfavourable RVOT anatomy continue to limit the indications for PPVI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between April 2012 and November 2013, PPVI was performed in 10 patients (mean age\u2009=\u200916, 3\u2009\u00b1\u20095 years old) using a new modification of the Melody\u00ae valve consisting in a manual shortening of the Melody by folding the two extremities of the stent. We reviewed the results of this technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Indications were short RVOT in three patients, prevention of retrosternal compression in two patients, bioprosthetic valves in four and coronary arteries proximity in one. No complication occurred during procedures. All patients had excellent hemodynamic results [mean post PPVI RV\u2013PA gradient was 14\u2009\u00b1\u20096 mm Hg, three patients had trivial pulmonary regurgitation (PR) and the remaining had no PR]. After a mean follow\u2010up of 11 months (range 5\u201321 months), no patient had reintervention. No valve dysfunction or stent fractures were observed. Conclusion: The \u201cFolded valve technique\u201d is a safe modification of the Melody valve. By shortening the valve, this technique allowed PPVI in short and complex RVOTs with vulnerable neighborhood. \u00a9 2014 Wiley Periodicals, Inc. \u00a9 2014 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.25747","type":"journal-article","created":{"date-parts":[[2014,11,20]],"date-time":"2014-11-20T23:35:54Z","timestamp":1416526554000},"page":"604-610","source":"Crossref","is-referenced-by-count":20,"title":["A new percutaneous pulmonary valve implantation technique for complex right ventricular outflow tracts: The \u201cFolded melody valve\u201d"],"prefix":"10.1002","volume":"85","author":[{"given":"Zakaria","family":"Jalal","sequence":"first","affiliation":[{"name":"Department of Congenital and Pediatric Cardiology, Centre de R\u00e9f\u00e9rence Malformations Cardiaques Cong\u00e9nitales Complexes\u2014M3C, Necker Hospital for Sick Children Assistance Publique des H\u00f4pitaux de Paris, Pediatric Cardiology Paris France"},{"name":"Department of Congenital Adult Cardiology, Centre de R\u00e9f\u00e9rence Malformations Cardiaques Cong\u00e9nitales Complexes\u2014M3C, George Pompidou European Hospital Assistance Publique des H\u00f4pitaux de Paris, Unit for Adults with Congenital Heart Defects Paris France"},{"name":"Department of Pediatric and Adult Congenital Heart defects University Hospital of Bordeaux Pessac France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Malekzadeh\u2010Milani","sequence":"additional","affiliation":[{"name":"Department of Congenital and Pediatric Cardiology, Centre de R\u00e9f\u00e9rence Malformations Cardiaques Cong\u00e9nitales Complexes\u2014M3C, Necker Hospital for Sick Children Assistance Publique des H\u00f4pitaux de Paris, Pediatric Cardiology Paris France"},{"name":"Department of Congenital Adult Cardiology, Centre de R\u00e9f\u00e9rence Malformations Cardiaques Cong\u00e9nitales Complexes\u2014M3C, George Pompidou European Hospital Assistance Publique des H\u00f4pitaux de Paris, Unit for Adults with Congenital Heart Defects Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Hofbeck","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology University Children's Hospital Tuebingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khalid","family":"Al Najashi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Prince Sultan Cardiac Center Riyadh Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean\u2010Benoit","family":"Thambo","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adult Congenital Heart defects University Hospital of Bordeaux Pessac France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Younes","family":"Boudjemline","sequence":"additional","affiliation":[{"name":"Department of Congenital and Pediatric Cardiology, Centre de R\u00e9f\u00e9rence Malformations Cardiaques Cong\u00e9nitales Complexes\u2014M3C, Necker Hospital for Sick Children Assistance Publique des H\u00f4pitaux de Paris, Pediatric Cardiology Paris France"},{"name":"Department of Congenital Adult Cardiology, Centre de R\u00e9f\u00e9rence Malformations Cardiaques Cong\u00e9nitales Complexes\u2014M3C, George Pompidou European Hospital Assistance Publique des H\u00f4pitaux de Paris, Unit for Adults with Congenital Heart Defects Paris France"},{"name":"Universit\u00e9 Paris Descartes Sorbonne Paris Cit\u00e9 EA 7328 Paris 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