Document Detail

Anterior mitral leaflet reconstruction with pericardium in a 1.9 kg infant with endocarditis.
MedLine Citation:
PMID:  16731184     Owner:  NLM     Status:  MEDLINE    
A premature twin of 1.9 kg had mitral valve endocarditis develop during neonatal intensive care. Vegetation involving the entire anterior mitral valve leaflet was identified. Reconstruction was achieved by near complete resection of the anterior mitral valve leaflet and retention of the peripheral margin of coaptation including primary and secondary chordae. The body of the anterior mitral valve leaflet was reconstructed using fresh autologous pericardium, a technique not previously reported in an infant of this size. Three and a half years later, the child is well and has required no further intervention.
David G Healy; Alfred E Wood
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  81     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-05-29     Completed Date:  2007-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  2310-2     Citation Subset:  AIM; IM    
Professor Eoin O'Malley National Centre for Cardiothoracic Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
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MeSH Terms
Birth Weight
Captopril / therapeutic use
Combined Modality Therapy
Diseases in Twins* / surgery
Diuretics / therapeutic use
Endocarditis, Bacterial / drug therapy,  surgery*
Gentamicins / therapeutic use
Hypertension, Pulmonary / etiology
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / surgery*
Methicillin Resistance
Mitral Valve / surgery*
Mitral Valve Insufficiency / etiology,  surgery*
Pericardium / transplantation
Rifampin / therapeutic use
Staphylococcal Infections / drug therapy,  surgery*
Transplantation, Autologous
Twins, Monozygotic
Vancomycin / therapeutic use
Reg. No./Substance:
0/Diuretics; 0/Gentamicins; 13292-46-1/Rifampin; 1404-90-6/Vancomycin; 62571-86-2/Captopril

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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