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Cart Wheels - Fall 2012 - Kosair Children's Hospital

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heart valve<br />

heart surgery<br />

In 2003 Austin and his family moved to Bowling Green,<br />

Ky., where luckily he was not very far from Dr. Leahy and the<br />

experts at the Congenital Heart Center at <strong>Kosair</strong> Children’s<br />

<strong>Hospital</strong>, who also care for patients at a clinic in Bowling<br />

Green.<br />

“The scar tissue from his open-heart surgeries caused Austin<br />

to develop lung disease and suffer a stroke,” Tamara said.<br />

“When we heard about the Melody heart valve, we were so<br />

excited and relieved that he may never need another open-heart<br />

surgery.”<br />

“The Melody Transcatheter Pulmonary Valve, or Melody<br />

valve, is a new alternative to traditional artificial heart valves<br />

for patients with congenital heart disease and failing artificial<br />

pulmonary valves,” Dr. Leahy said. “What’s exciting is it is<br />

inserted using a minimally invasive, catheter-based procedure.”<br />

The catheter-based procedure<br />

is performed in the<br />

<strong>Kosair</strong> Children’s <strong>Hospital</strong><br />

cardiac catheterization lab.<br />

The valve is mounted to<br />

a balloon on a catheter,<br />

inserted through a<br />

vein in the leg, and<br />

then threaded up<br />

to the heart to be put into place. The patient is asleep for the<br />

procedure and wakes up virtually pain-free with just a tiny<br />

incision in the leg.<br />

“Through minimally invasive techniques and avoiding<br />

open-heart surgery, patients have a shorter hospital stay, less<br />

pain and a much quicker overall recovery,” Dr. Leahy said.<br />

“It means kids get back to being kids faster.”<br />

Austin received his Melody valve in March. He spent the<br />

night in the hospital for observation but, according to his mom,<br />

was “raring to go.”<br />

“He came home with no medications — not even pain<br />

medication — just aspirin,” Tamara said. “Since getting the<br />

Melody valve he has more energy and says he feels better.”<br />

Though Austin is mentally limited due to complications of<br />

his heart condition, he works at a local restaurant and, like just<br />

about every other 20-year-old young man, loves playing Xbox.<br />

Austin has checkups with Dr. Leahy a few times a year. Since<br />

heart valves do wear out over a lifetime, it’s possible Austin may<br />

need another valve replacement, but it’s a relief to know it will<br />

be through a tiny incision in his leg instead of a large incision<br />

in his chest.<br />

–Jennifer Reynolds<br />

Singing the praises of the<br />

Melody heart valve<br />

<strong>Kosair</strong> Children’s <strong>Hospital</strong> is the only<br />

hospital in Kentucky offering the Melody<br />

valve procedure, which also can be<br />

implanted in adults with heart valve<br />

disorders. Dr. Leahy and his colleague<br />

Edward Kim, M.D., director of the cardiac<br />

catheterization lab at <strong>Kosair</strong> Children’s<br />

<strong>Hospital</strong> and assistant professor of<br />

pediatric cardiology at the University<br />

of Louisville, are the only two pediatric<br />

cardiologists in Kentucky performing the<br />

procedure.<br />

Visit <strong>Kosair</strong>Childrens.com/BraveHearts<br />

for information on supporting children<br />

like Austin.<br />

Dean Lavenson Photo<br />

5

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