Ten years' experience of an aggressive reparative approach to congenital mitral valve anomalies

Abstract

Reparative techniques can be successfully applied to congenital mitral valve disease, especially in children less than 1 year of age, and can be accomplished with a low hospital mortality and acceptable long term survival rates.

Independent Factors Associated With Outcomes of Parachute Mitral Valve in 84 Patients

“…4 Children with multilevel left-heart obstructions and mitral valve involvement are known to have poor outcomes. [7][8][9] The management of congenital mitral valve stenosis and associated lesions in the pediatric population is a major challenge, although several authors have reported excellent surgical results. 10 -15 We have noted that outcomes for patients with PMV are incompletely defined.…”

“…The outcome of children with these multilevel left-heart obstructions and mitral valve involvement is generally poor. 6,7 The contributions of these associated anomalies to outcomes for patients with PMV are incompletely defined. We sought to determine factors associated with mortality in patients with PMV, the spectrum and natural history of mitral valve obstruction, and factors associated with eventual intervention for PMV.…”

Unsupported valvuloplasty in children with congenital mitral valve anomalies. Late clinical results

“…Congenital or acquired abnormalities of the mitral valve in children can be surgically managed with mechanical or biological prosthesis or valvuloplasty 4,17 . Valvular replacement is accompanied by a high mortality rate and by anticoagulation problems and the impossibility of annular growth, leading inevitably to re-operation 2,4,[17][18][19][20][21][22] .…”

“…Valvular replacement is accompanied by a high mortality rate and by anticoagulation problems and the impossibility of annular growth, leading inevitably to re-operation 2,4,[17][18][19][20][21][22] .…”

“…Congenital malformations of the mitral valve are complex lesions resulting from several morphological abnormalities that, generally, involve more than 1 valve component [1][2][3] and take place in a population with high prevalence of associated cardiac anomalies [4][5][6] .…”