
Figure 1.
(A) View of Melody valve (Medtronic) from inflow (towards right ventricle) portion of valve. (B) View of valve from outflow (pulmonary) portion demonstrating natural venous valve with thin valve leaflets.

Figure 2.
Ensemble delivery system with crimped Melody valve (Medtronic).

Figure 3.
SAPIEN XT valve (Edwards Lifesciences).

Figure 4.
Novaflex delivery system (Edwards Lifesciences).

Figure 5.
Sapien S3 valve (Edwards Lifesciences).

Figure 6.
Multiple Melody valve (Medtronic) stent fractures (arrow) demonstrated during balloon dilation of right ventricular outflow tract and aortography for coronary assessment.

Figure 7.
Digital subtraction angiogram of a large conduit rupture just inferior to the origin of the left pulmonary artery.

Figure 8.
Digital subtraction angiogram showing sealed conduit tear following placement of two covered stents and a Melody valve (Medtronic).

Figure 9.
Lateral view of selective coronary injection (A) before and (B) after balloon inflation in right ventricular outflow tract demonstrating coronary compression (arrow).

Figure 10.
Explanted Melody valve (Medtronic) with thickened leaflets and vegetations (arrows). (A) Top view. (B) Open view.

Figure 11.
Harmony valve (Medtronic) viewed from inflow portion.

Figure 12.
Alterra Adaptive Prestent (Edwards Lifesciences) side view. Open crowns will be oriented toward the pulmonary bifurcation.