emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университет10.51922/2616-633X.2025.9.2.2668emcardio-329Research ArticleИнтересный клинический случайAn interesting clinical caseЧрескожная имплантация клапана Melody в нативный трехстворчатый клапан у ребенка 13 летPercutaneous implantation of the Melody valve into a native tricuspid valve in a 13-year-old childЧерноглазП. Ф.CharnahlazP. F.

Минск

Minsk

chernoglaz@gmail.comЛинникЮ. И.LinnikYu. I.

Минск

Minsk

ГорбачМ. М.GorbachM. M.

Минск

Minsk

ЖукА. Ю.ZhukA. Y.

Минск

Minsk

ШевченкоН. С.ShevchenkoN. S.

Минск

Minsk

ДроздовскийК. В.DrozdovskiK. V.

Минск

Minsk

ГУ «РНПЦ детской хирургии»State Institution “Republican Scientific and Practical Center of Pediatric Surgery”2025250120269226682672Copyright © Черноглаз П.Ф., Линник Ю.И., Горбач М.М., Жук А.Ю., Шевченко Н.С., Дроздовский К.В., 20262026Черноглаз П.Ф., Линник Ю.И., Горбач М.М., Жук А.Ю., Шевченко Н.С., Дроздовский К.В.Charnahlaz P.F., Linnik Y.I., Gorbach M.M., Zhuk A.Y., Shevchenko N.S., Drozdovski K.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://emcardio.bsmu.by/jour/article/view/329

Хирургическая вальвулопластика не всегда выполнима у пациентов детского возраста. Транскатетерная имплантация «клапан-в-клапан» и «клапан-в-кольцо» стала распространенным подходом для пациентов с несостоятельными биопротезами клапанов или дисфункциональными кольцами аннулопластики. Мы представляем случай чрескожной имплантации клапана Melody в нативный, не реконструированный ранее трехстворчатый клапан. Ключевой особенностью данного случая было наличие механического протеза клапана в митральной позиции, жесткое опорное кольцо которого обеспечило поддержку фиброзного кольца во время имплантации эндоваскулярного клапана в трехстворчатую позицию, способствуя стабильному позиционированию устройства.

Surgical valvuloplasty is not always possible in pediatric patients. Transcatheter “valve-in-valve” and “valve-in-ring” implantations have become common approaches for patients with failed biopros- thetic valves or dysfunctional annuloplasty rings. We present a case of percutaneous Melody valve implantation into a native, previously unreconstructed tricuspid valve. A key feature of this case was the presence of a mechanical valve prosthesis in the mitral position, whose rigid support ring provided stabilization to the fibrous annulus during the implantation of the endovascular valve into the tricuspid position, facilitating stable device positioning.

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The authors declare that there are no conflicts of interest present.