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
Hauptverfasser: Ando, Makoto, Takahashi, Yukihiro, Kikuchi, Toshio
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container_title General thoracic and cardiovascular surgery
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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.
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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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