Mitral valve surgery in children

Kalke, Bhagavant R.; Desai, Jawahar; Magotra, Ratna

doi:10.1016/s0022-5223(19)34284-9

Cited by 3 publications

(3 citation statements)

References 14 publications

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“…Most studies focus on surgery to the mitral valve, with a reported mortality from 2.2 to 30%. 1,3,5,10,11 When it is necessary to replace the mitral valve, rates of death may be even higher, ranging from 18 to 50%, with younger patients being particularly at risk. [12][13] Early postoperative death following such surgery is most often attributed to progressive ventricular dysfunction, pulmonary hypertension, and complete heart block.…”

Section: Discussionmentioning

confidence: 99%

“…The total number of deaths was 11, which is consistent with recently published reports. 1,[3][4][5][10][11][12][13][14][15][16][17] The diagnoses and surgical procedures for those patients who had adverse outcome are shown in Tables 2 and 3. Of the 11 (45%) deaths, and 7 of the 12 (58%) who had mechanical support, 6 required replacement of the valve because of presence of either an arcade or a parachute lesion.…”

Section: Discussionmentioning

confidence: 99%

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Risk factors for adverse outcomes after surgery on the systemic atriventricular valve in 109 children

et al. 2006

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Risk factors for adverse outcomes after surgery on the systemic atriventricular valve in 109 children

et al. 2006

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“…Mitral valve disease, in particular, is present in all cases who have sequels of the rheumatic process. Replacement 9 "" or reconstruction 12 of the valve is often necessary in children under 16 years of age. In this young population, however, the differential diagnosis between congenital and rheumatic lesions is mandatory.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary valvar involvement in rheumatic heart disease—a study of 100 post-mortem cases

et al. 1992

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SummaryWe reviewed 100 postmortems of patients with pulmonary valvar involvement due to rheumatic heart disease. The patients were divided in two groups: the first group included 59 cases with acute rheumatic lesions of the pulmonary valve. At the time of death, the mean age in this group was 18.4 ± 9.7 years. The second group was formed by 41 patients with chronic rheumatic lesions of the pulmonary valve whose mean age at the time of death was 25± 16.5 years. The percentage of patients who died before the age of25 years was greater in the group with acute as opposed to chronic lesions (p=O.0003). The mean age of the first attack in those with acute lesions was 11.7±7.8 years, as compare to 13.8 ± 5.3 years in those with chronic lesions. All patients but one had at least one attack of the acute rheumatic process. There was no significant difference between the groups regarding the number of acute processes. The length of the acute rheumatic process was similar in both groups. Fifty-five cases having acute lesions, and 38 of those with chronic lesions suffered involvement of all cardiac valves. Three valves were affected in two hearts, while only one heart had two affected valves. Fifteen cases had an associated congenital defect of the pulmonary valve, and we found a significantly greater incidence of rheumatic pulmonary disease in the group with co-existing congenital lesions of the valve (p.O.00001). Three patients undergoing catheterization (21.4%) showed normal, or near normal, pulmonary arterial systolic pressure. Rheumatic damage to the pulmonary valve, therefore, exists in association with plurivalvar rheumatic disease. A congenital lesion of the pulmonary valve predisposes to its involvement in the rheumatic process.

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Bhagavant Kalke and His Pioneering Work on the Bi-Leaflet Heart Valve Prosthesis

Saxena¹,

Konstantinov²

2009

The Annals of Thoracic Surgery

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Mitral valve surgery in children

Cited by 3 publications

References 14 publications

Risk factors for adverse outcomes after surgery on the systemic atriventricular valve in 109 children

Risk factors for adverse outcomes after surgery on the systemic atriventricular valve in 109 children

Pulmonary valvar involvement in rheumatic heart disease—a study of 100 post-mortem cases

Bhagavant Kalke and His Pioneering Work on the Bi-Leaflet Heart Valve Prosthesis

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