Infant Mitral Valve Replacement: Current State of the Art.
Congenital heart disease
Mechanical mitral valve replacement
Mitral valve
Outcomes
Journal
Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual
ISSN: 1092-9126
Titre abrégé: Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu
Pays: United States
ID NLM: 9815944
Informations de publication
Date de publication:
2023
2023
Historique:
received:
07
11
2022
revised:
09
01
2023
accepted:
10
01
2023
entrez:
26
2
2023
pubmed:
27
2
2023
medline:
3
3
2023
Statut:
ppublish
Résumé
Mitral valve replacement (MVR) in the very young is an imposing clinical challenge. Early and late mortality risk is substantial, severe adverse events are common, and redo mitral valve replacement is inevitable. Therapeutic options are limited. In the older infant with an annulus of 17mm or larger, mechanical MVR is associated with low risk of mortality and predictable durability. For the very young with annular hypoplasia, bovine jugular vein conduit MVR appears to offer equivalent or better early outcomes with the possibility of subsequent valve expansion, potentially prolonging the interval to redo MVR. Experience with cylinder MVR and other forms of surgeon-manufactured MVR is quite limited, and there is currently no information on late outcomes or durability.
Identifiants
pubmed: 36842801
pii: S1092-9126(23)00001-7
doi: 10.1053/j.pcsu.2023.01.001
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
75-80Informations de copyright
Copyright © 2023 Elsevier Inc. All rights reserved.