Mitral valve replacement for children with a small annulus using ATS open pivot prosthesis
The present study was conducted to review our experience of mitral valve replacement (MVR) in small children with the ATS open pivot prosthesis. Between January 1999 and March 2002, 14 patients (7 males and 7 females) underwent a total of 15 ATS MVRs; 16AP in 9, 18AP in 3, and 20AP in 3 occasions. T...
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Veröffentlicht in: | General thoracic and cardiovascular surgery 2003-09, Vol.51 (9), p.403-406 |
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creator | Ando, Makoto Takahashi, Yukihiro Kikuchi, Toshio |
description | The present study was conducted to review our experience of mitral valve replacement (MVR) in small children with the ATS open pivot prosthesis.
Between January 1999 and March 2002, 14 patients (7 males and 7 females) underwent a total of 15 ATS MVRs; 16AP in 9, 18AP in 3, and 20AP in 3 occasions. The mean age and body weight at operation were 1.1 +/- 0.7 (range 0.2 to 2.7) years and 6.8 +/- 2.6 (range 2.8 to 12.5) kg, respectively.
There were 2 early and 2 late deaths, each non-valve related. Excluding one patient, the orifice size of the prosthesis was larger than the predicted normal size of the mitral valve for the age. The postoperative Doppler echocardiogram demonstrated normal maximal flow velocity across the prosthesis. There was no morbidity among survivors except for the patient who developed a stuck and immobile valve disc 10.2 months after the operation and required re-replacement.
Our experience shows that MVR with the ATS open pivot prosthesis is a promising surgical option for small children. |
doi_str_mv | 10.1007/BF02719591 |
format | Article |
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Between January 1999 and March 2002, 14 patients (7 males and 7 females) underwent a total of 15 ATS MVRs; 16AP in 9, 18AP in 3, and 20AP in 3 occasions. The mean age and body weight at operation were 1.1 +/- 0.7 (range 0.2 to 2.7) years and 6.8 +/- 2.6 (range 2.8 to 12.5) kg, respectively.
There were 2 early and 2 late deaths, each non-valve related. Excluding one patient, the orifice size of the prosthesis was larger than the predicted normal size of the mitral valve for the age. The postoperative Doppler echocardiogram demonstrated normal maximal flow velocity across the prosthesis. There was no morbidity among survivors except for the patient who developed a stuck and immobile valve disc 10.2 months after the operation and required re-replacement.
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Between January 1999 and March 2002, 14 patients (7 males and 7 females) underwent a total of 15 ATS MVRs; 16AP in 9, 18AP in 3, and 20AP in 3 occasions. The mean age and body weight at operation were 1.1 +/- 0.7 (range 0.2 to 2.7) years and 6.8 +/- 2.6 (range 2.8 to 12.5) kg, respectively.
There were 2 early and 2 late deaths, each non-valve related. Excluding one patient, the orifice size of the prosthesis was larger than the predicted normal size of the mitral valve for the age. The postoperative Doppler echocardiogram demonstrated normal maximal flow velocity across the prosthesis. There was no morbidity among survivors except for the patient who developed a stuck and immobile valve disc 10.2 months after the operation and required re-replacement.
Our experience shows that MVR with the ATS open pivot prosthesis is a promising surgical option for small children.</description><subject>Child, Preschool</subject><subject>Female</subject><subject>Flow velocity</subject><subject>Heart Valve Prosthesis Implantation</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Mitral Valve - surgery</subject><subject>Prostheses</subject><subject>Prosthesis Design</subject><issn>1344-4964</issn><issn>1863-6705</issn><issn>1863-6713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkE1LAzEQhoMotn5c_AESEDwIq8km2WyOtVgVKh6sFy9Lmp3YLdkPk92K_95ICwVPM4eHd-Z9ELqg5JYSIu_uZySVVAlFD9CY5hlLMknZYdwZ5wlXGR-hkxDWhHAppDpGI8pFqqjgY_TxUvVeO7zRbgPYQ-e0gRqaHtvWY7OqXOmhwd9Vv8Iah1o7h3XTDG4IeAhV84knizfcdpHpqk3b4863oV9BqMIZOrLaBTjfzVP0PntYTJ-S-evj83QyT0wqVZ8wIYktJZPUclPmxog0A21tmUGpjKYMxHJJKRPactCcSJ0vlYCsFCxNrWHsFF1vc-PprwFCX9RVMOCcbqAdQhE7C0KViuDVP3DdDr6JvxXRRi4ZS1UeqZstZWKT4MEWna9q7X8KSoo_38Xed4Qvd5HDsoZyj-4Es1-XInrp</recordid><startdate>200309</startdate><enddate>200309</enddate><creator>Ando, Makoto</creator><creator>Takahashi, Yukihiro</creator><creator>Kikuchi, Toshio</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>200309</creationdate><title>Mitral valve replacement for children with a small annulus using ATS open pivot prosthesis</title><author>Ando, Makoto ; Takahashi, Yukihiro ; Kikuchi, Toshio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c279t-3570fd7371f4cd8cc526eaffd6ed9ca13e5bb1135af4ea407a8b95e6d5322fc33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Child, Preschool</topic><topic>Female</topic><topic>Flow velocity</topic><topic>Heart Valve Prosthesis Implantation</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Mitral Valve - surgery</topic><topic>Prostheses</topic><topic>Prosthesis Design</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ando, Makoto</creatorcontrib><creatorcontrib>Takahashi, Yukihiro</creatorcontrib><creatorcontrib>Kikuchi, Toshio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>General thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ando, Makoto</au><au>Takahashi, Yukihiro</au><au>Kikuchi, Toshio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mitral valve replacement for children with a small annulus using ATS open pivot prosthesis</atitle><jtitle>General thoracic and cardiovascular surgery</jtitle><addtitle>Jpn J Thorac Cardiovasc Surg</addtitle><date>2003-09</date><risdate>2003</risdate><volume>51</volume><issue>9</issue><spage>403</spage><epage>406</epage><pages>403-406</pages><issn>1344-4964</issn><issn>1863-6705</issn><eissn>1863-6713</eissn><abstract>The present study was conducted to review our experience of mitral valve replacement (MVR) in small children with the ATS open pivot prosthesis.
Between January 1999 and March 2002, 14 patients (7 males and 7 females) underwent a total of 15 ATS MVRs; 16AP in 9, 18AP in 3, and 20AP in 3 occasions. The mean age and body weight at operation were 1.1 +/- 0.7 (range 0.2 to 2.7) years and 6.8 +/- 2.6 (range 2.8 to 12.5) kg, respectively.
There were 2 early and 2 late deaths, each non-valve related. Excluding one patient, the orifice size of the prosthesis was larger than the predicted normal size of the mitral valve for the age. The postoperative Doppler echocardiogram demonstrated normal maximal flow velocity across the prosthesis. There was no morbidity among survivors except for the patient who developed a stuck and immobile valve disc 10.2 months after the operation and required re-replacement.
Our experience shows that MVR with the ATS open pivot prosthesis is a promising surgical option for small children.</abstract><cop>Japan</cop><pub>Springer Nature B.V</pub><pmid>14529154</pmid><doi>10.1007/BF02719591</doi><tpages>4</tpages></addata></record> |
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source | MEDLINE; ProQuest Central (Alumni Edition); Springer Nature - Complete Springer Journals; ProQuest Central UK/Ireland; ProQuest Central |
subjects | Child, Preschool Female Flow velocity Heart Valve Prosthesis Implantation Humans Infant Male Mitral Valve - surgery Prostheses Prosthesis Design |
title | Mitral valve replacement for children with a small annulus using ATS open pivot prosthesis |
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