Summary:
An eleven years old boy was diagnosed as a case of Tetralogy
of Fallot (TOF) with absent left pulmonary artery (LPA)
since two years of age. He had history of total corrective
surgery in 2007 from India. He developed severe right
pulmonary artery
origin stenosis, severe tricuspid and pulmonary valve
regurgitation after surgery and redo surgery was performed
in 2009. During redo surgery an orthotropic conduit was
placed between right ventricular (RV) out flow tract and
pulmonary artery. He developed significant conduit
dysfunction in the form of stenosis and regurgitation in 2011
and planned for Melody® trans-catheter pulmonary valve
replacement. Finally in 25th December 2012, first ever case
of pulmonary valve replacement in South Asia was performed
in catheterization laboratory of CMH Dhaka with technical
support from a Saudi cardiac team. Patient was discharged
three days after the procedure with a fully functioning
Melody® valve without any stenosis or regurgitation.
(J Banagladesh Coll Phys Surg 2014; 32: 102-106)