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Repeated mitral valve replacement in the growing child with congenital mitral valve disease.

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.
AuthorsI Nudelman, A Schachner, M J Levy
JournalThe 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
PMID7366244 (Publication Type: Case Reports, Journal Article)
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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