Pediatric cardiac
Mitral Valve Repair for Rheumatic Valve Disease in Children: Midterm Results and Impact of the Use of a Biodegradable Mitral Ring

Afksendiyos Kalangos, Jan T. Christenson, Maurice Beghetti, Mustafa Cikirikcioglu, Dimitrios Kamentsidis, Yacine Aggoun

Source
The Annals of Thoracic Surgery > 2008 > 86 > 1 > 161-169
Abstract
Mitral valve repair for rheumatic mitral valve disease in children has become the preferred surgical modality. A mitral valve ring is frequently used in the repair. A recently introduced biodegradable ring has shown promising results and allows for growth of the native annulus.Between January 1994 and March 2006, 220 children underwent mitral valve repair for rheumatic valve disease. Mitral valve insufficiency was predominant in 198 patients (90%). Fifty-seven patients (26%) had associated aortic valve insufficiency and 51 (23%) had tricuspid valve insufficiency addressed during the same surgery. A mitral valve ring was used in 213 patients (173 Carpentier-Edwards and 40 biodegradable rings). Ninety-two percent (202 of 220) were in New York Association class III to IV. Echocardiography was performed at 6 months and thereafter once yearly.There were no hospital deaths or major postoperative morbidity. Follow-up…

Source:https://www.infona.pl/resource/bwmeta1.element.elsevier-d373ca45-9399-39ca-9b47-56da6316890e