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Cardiologia Croatica, Vol. 16 No. 11-12, 2021.

Meeting abstract

https://doi.org/10.15836/ccar2021.341

Priprema i postproceduralna njega bolesnika nakon ugradnje umjetnog pulmonalnog Melody zalistka

Matea Dumančić orcid id orcid.org/0000-0003-2052-8307 ; Klinički bolnički centar Zagreb, Zagreb, Hrvatska

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Abstract

Keywords

prirođene bolesti srca; pulmonalni Melody zalistak

Hrčak ID:

265033

URI

https://hrcak.srce.hr/265033

Publication date:

6.10.2021.

Article data in other languages: english

Visits: 1.155 *

Copyright: 2021, Croatian Cardiac Society

Date received: 07 September 2021

Date accepted: 14 September 2021

Publication date (print and electronic): October 2021

Volume: 16

Issue: 11-12

Page: 341

Publisher ID: CC 2021 16_11-12_341

DOI: 10.15836/ccar2021.341

Article Information (continued)

Categories:

Subject: Cardiology and cardiovascular surgery

Categories:

Subject: Extended Abstract

KLJUČNE RIJEČI: :

KLJUČNE RIJEČI:

Keyword: prirođene bolesti srca

Keyword: pulmonalni Melody zalistak

KEYWORDS: :

KEYWORDS:

Keyword: congenital heart diseases

Keyword: pulmonary Melody valve

Preparation and post-procedural care of patients after installation of artificial pulmonary Melody valve

Translated Title (hr): Priprema i postproceduralna njega bolesnika nakon ugradnje umjetnog pulmonalnog Melody zalistka

[https://orcid.org/0000-0003-2052-8307] Matea Dumančić[*]

 

Klinički bolnički centar Zagreb, Zagreb, Hrvatska

University Hospital Centre Zagreb, Zagreb, Croatia

Author notes:

Correspondence to: [*] Address for correspondence: Matea Dumančić, Klinički bolnički centar Zagreb, Kišpatićeva 12, HR-10000 Zagreb, Croatia. / Phone: + 385-97-709-8096 / E-mail: matea.duma1@gmail.com

Numerous patients with congenital heart diseases have a dysfunctional pulmonary valve and require cardiac surgery at an early age. Until the last decade, the replacement of a dysfunctional pulmonary valve or conduit could only be performed by open heart surgery. The introduction of percutaneous Melody pulmonary valve (1) implantation into our therapeutic protocol today, offers an attractive alternative to the surgical procedure of pulmonary valve replacement in carefully selected patients. The nursing staff who cares 24 hours for these patients, plays the key role in the preoperative patient preparation and in the post-procedural course and education. The main advantage of this procedure is the avoidance of open heart surgery in patients who already had several previous surgeries and may need future ones. The findings of many studies are encouraging and most patients with corrected tetralogy of Fallot and related anomalies will require multiple lifelong interventions, and it is impossible to predict what technology and alternatives will be available in the future. Ultimately, appropriate sequencing of surgical replacement and percutaneous pulmonary valve implantation will depend on individual patients’ needs. Despite this, PPVI (Percutaneous Pulmonary Valve Implantation) is now recognized as an important part of therapy to prolong the lifespan of an existing bioprosthetic valve.

LITERATURE

1 

Simpson KE, Huddleston CB, Foerster S, Nicholas R, Balzer D. Successful subxyphoid hybrid approach for placement of a Melody percutaneous pulmonary valve. Catheter Cardiovasc Interv. 2011 July 1;78(1):108–11. https://doi.org/10.1002/ccd.22930 PubMed: http://www.ncbi.nlm.nih.gov/pubmed/21234917

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