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Physician Connection
A Communication Service for Physicians from CHOC and CHOC at Mission. Please Note: Physician Connection is no longer being printed and is now available electronically. Please visit our blog at http://docs.chocchildrens.org for the latest articles for our physician community. You can also receive our electronic Physician Connection newsletter in your inbox by subscribing to our mailing list: http://www.choc.org/subscribe

“Hybrid” Melody Valve Therapy Delays Open Heart Surgery

CHOC Children’s Heart Institute is one of only 20 centers in the entire country certified to use the first FDA-approved transcatheter heart valve “hybrid” alternative to open heart surgery for replacing regurgitant or stenotic pulmonary conduits. According to CHOC Children’s interventional cardiologist Farhouch Berdjis, M.D., Melody TPV (Transcatheter Pulmonary Valve) therapy improves right ventricular outflow tract (RVOT) conduit function and lengthens the conduit’s lifespan, delaying the patient’s next open heart surgery.

“The patient receives the same pulmonary conduit as would be provided through conventional open heart surgery, but in a far more gentle manner,” said Dr. Berdjis, who trained for several months to become certified in the Melody TPV procedure. “There is less scarring, less stress to the circulatory systems and faster recovery.” He is performing this procedure in close collaboration with Richard Gates, M.D., director of cardiothoracic surgery at the CHOC Children’s Heart Institute.

Dr. Berdjis said that Melody TPV may not ultimately be a patient’s last procedure, but it will reduce the overall number of major surgeries.

“Melody TPV is an example of the groundbreaking therapies that make CHOC a leader in pediatric medicine, and we are extremely proud to be at the forefront of this technology,” he said.

For more information about the Melody TPV therapy, please call 714-532-7827.

Major Indications

  • Previous open heart surgery for RVOT obstruction and conditions, including tetralogy of Fallot and truncus arteriosis.
  • Exercise intolerance, especially during athletics.


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chocChildren's Hospital of Orange County | UCI University of California, Irvine

Children's Hospital of Orange County is affiliated with UC Irvine Healthcare and UC Irvine School of Medicine

CHOC Children's - 1201 W La Veta Ave, Orange, CA. Phone: 714-997-3000. .