Document Detail


Congenital mitral valve surgery: techniques and results.
MedLine Citation:
PMID:  16470143     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: Congenital lesions of the mitral valve are rare. Conservative surgery is recognized as the best option. In complex anatomy, however, replacement is the only solution to achieve an acceptable result. This review aims to study the long-term follow-up of classical treatments, conservative or replacement, and to examine new technical advances. RECENT FINDINGS: The long-term results of conservative surgery are confirmed with a low incidence of reoperation except in mitral valve stenosis. The Ross II operation using a pulmonary autograft is a difficult technique that may be useful in the youngest patient group when prosthetic devices cannot be used. SUMMARY: In the last few years, surgery of congenital mitral valve lesions has gained from echocardiography, which shows the exact function and anatomy of the mitral valve. The tendency is to avoid multistage operations. Valve replacement by biologic material (Ross II) is still under clinical evaluation.
Authors:
Sylvain Chauvaud
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Current opinion in cardiology     Volume:  21     ISSN:  0268-4705     ISO Abbreviation:  Curr. Opin. Cardiol.     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-02-10     Completed Date:  2006-09-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8608087     Medline TA:  Curr Opin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  95-9     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, Européen Georges Pompidou Hospital, Paris, France. sylvain.chauvaud@egp.ap-hop-paris.fr
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MeSH Terms
Descriptor/Qualifier:
Adult
Bioprosthesis*
Child
Child, Preschool
Follow-Up Studies
Heart Defects, Congenital / surgery*
Heart Valve Prosthesis Implantation / methods*
Humans
Infant
Infant, Newborn
Mitral Valve / abnormalities*,  surgery
Mitral Valve Insufficiency / congenital*,  surgery*
Mitral Valve Prolapse / congenital*,  surgery
Mitral Valve Stenosis / congenital*,  surgery*
Outcome and Process Assessment (Health Care)
Prosthesis Design
Pulmonary Valve / transplantation*
Suture Techniques

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


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