Document Detail


Edge-to-edge technique: is it also useful in children?
MedLine Citation:
PMID:  19550354     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Mitral valve prolapse is a rare condition and represents a challenge for cardiac surgeons. Many techniques have been described to treat the wide spectrum of abnormalities causing mitral valve regurgitation but the low incidence of these abnormalities is the cause of the relatively poor experience of many institutions. METHODS: From April 2005 to September 2006, five patients underwent isolated mitral valve repair with the edge-to-edge technique for anterior or bileaflet prolapse. Three patients also had a Gore-Tex strip to reinforce the posterior annulus, whereas two had a 26-size soft incomplete ring annuloplasty. RESULTS: There was no death and none of the patients required reoperation. None of the patients had mitral regurgitation more than 1+ at a mean follow-up of 30 months. None of the patients had mitral stenosis or any valve-related event. CONCLUSION: The edge-to-edge technique is a well tolerated and useful technique for the anterior or bileaflet prolapse of the mitral valve. Although many techniques have been described with good results, in many anatomical settings and in small patients, edge-to-edge is a good option and might not interfere with the growth of the valve. Early results are encouraging but a longer follow-up is needed to evaluate the long-term prognosis.
Authors:
Andrea Quarti; Alessandro D'alfonso; Massimo Colaneri; Alessandra Baldinelli; Roberto Ricciotti; Maria Grazia Bettuzzi; Marco Pozzi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  10     ISSN:  1558-2035     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2010-01-15     Completed Date:  2010-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  848-51     Citation Subset:  IM    
Affiliation:
Department of Congenital and Paediatric Cardiac Surgery and Cardiology Ospedali Riuniti, presidio G.M. Lancisi, Ancona, Italy. aquarti@libero.it
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MeSH Terms
Descriptor/Qualifier:
Anticoagulants / administration & dosage
Child
Child, Preschool
Female
Heart Valve Prosthesis Implantation / methods*
Humans
Male
Mitral Valve / growth & development,  surgery*,  ultrasonography
Mitral Valve Insufficiency / etiology,  surgery*,  ultrasonography
Mitral Valve Prolapse / complications,  surgery*,  ultrasonography
Severity of Illness Index
Time Factors
Treatment Outcome
Warfarin / administration & dosage
Chemical
Reg. No./Substance:
0/Anticoagulants; 81-81-2/Warfarin

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


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