Mitral valve surgery in infants and children
Armistead, S.H.; Macfarland, R.; Lane, I.; Paneth, M.
Journal of Cardiovascular Surgery 24(2): 144-149
1983
ISSN/ISBN: 0021-9509 PMID: 6841438 Document Number: 215738
The pre-operative findings and surgical results of forty-three patients under thirteen years of age undergoing mitral valve surgery, are presented. Eight underwent surgery for mitral stenosis. Four had open mitral valvotomy with a satisfactory result, one developed severe regurgitation which required mitral valve replacement. Two had primary valve replacement and two had excision of a mitral subvalvar diaphragm. Thirty five children underwent surgery for mitral regurgitation. Twelve had a mitral annuloplasty. Two of these developed further regurgitation which required mitral valve replacement. Twenty one children had primary mitral valve replacement. The results and choice of valve replacement are discussed.