Abstract |
The successful second-replacement of mitral valve prostheses in two children, age 5 and 9 years, is reported. In one, a parachute mitral valve deformity was first corrected at the age of 10 months by the small-size 00 Starr-Edwards prosthesis. The second child had mitral valve disease caused by Marfan's syndrome 1; the valve was initially replaced at the age of 3 years by a size 0 Starr-Edwards prosthesis. For both patients, in the period between the two interventions, the left ventricle had grown in size and the mitral anulus was not a limiting factor in the insertion of a larger prosthesis of the Björk-Shiley type. Follow-up periods of 1 and 6 years, respectively, confirm excellent clinical results. Problems concerning valve replacements in pediatric patients are discussed.
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Authors | I Nudelman, A Schachner, M J Levy |
Journal | The Journal of thoracic and cardiovascular surgery
(J Thorac Cardiovasc Surg)
Vol. 79
Issue 5
Pg. 765-9
(May 1980)
ISSN: 0022-5223 [Print] United States |
PMID | 7366244
(Publication Type: Case Reports, Journal Article)
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Topics |
- Child
- Child, Preschool
- Heart Failure
(surgery)
- Heart Valve Prosthesis
- Hemodynamics
- Humans
- Male
- Marfan Syndrome
(complications)
- Mitral Valve
(abnormalities, surgery)
- Mitral Valve Insufficiency
(congenital, surgery)
- Mitral Valve Stenosis
(surgery)
- Postoperative Complications
(surgery)
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