Abstract:
:Nine children ages 2--15 years have undergone mitral valve replacement (MVR) with Hancock porcine heterograft valves for severe mitral insufficiency. The etiology of the mitral valve disease was rheumatic in two patients, and congenital in seven. Porcine valve sizes ranged from 19--31 mm. Follow-up has been from 1.6 to 6.1 years (mean, 4.3 years). All nine children have had marked postoperative improvement, no thromboembolic complications despite no long-term anticoagulations, and no episodes of endocarditis. There have been no early or late deaths. Although six of the nine patients remain asymptomatic, three others developed severe fibrocalcific obstruction of the heterograft, requiring valve re-replacement at 3.5, 3.6, and 4.8 years following the initial valve replacement. This complication has not been previously reported in children. It is a factor that must be considered when deciding on MVR for children and their postoperative management.
journal_name
Circulationjournal_title
Circulationauthors
Kutsche LM,Oyer P,Shumway N,Baum Ddoi
10.1161/01.cir.60.2.98subject
Has Abstractpub_date
1979-08-01 00:00:00pages
98-103issue
2 Pt 2eissn
0009-7322issn
1524-4539journal_volume
60pub_type
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