Melody Valve for Mitral Valve Replacement

In certain pediatric patients with irreparable mitral valve disease, mitral valve replacement is necessary. One option for replacement in a child with small annulus is off label use of the Melody valve for mitral replacement. The device modifications and implantation technique are described, and focus on maneuvers to prevent perivalvular leak and left ventricular outflow tract obstruction. Short term results are acceptable, but long term performance of this valve in this position is still unknown.