Document Detail


How I manage mitral stenosis in the neonate and infant.
MedLine Citation:
PMID:  19349020     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Congenital mitral valve stenosis is rare. Intervention is indicated in the most severe cases only and is determined by the site and mechanism of valvar obstruction. Correction of mitral valve stenosis is attempted in order to improve mitral valve function and delay replacement as early valve replacement is associated with significant mortality and morbidity. Balloon valvuloplasty can be used for isolated mitral valve lesions. In cases of associated left heart lesions such as aortic stenosis or left ventricular outflow tract obstruction, early palliation with single ventricle repair is performed. Newborn mitral valve replacement in the supraannular position remains the last option and typically requires re-replacement. Below we discuss our preferred management strategies for congenital mitral valve stenosis.
Authors:
Stephanie Fuller; Thomas L Spray
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual     Volume:  -     ISSN:  1092-9126     ISO Abbreviation:  Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu     Publication Date:  2009  
Date Detail:
Created Date:  2009-04-07     Completed Date:  2009-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815944     Medline TA:  Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu     Country:  United States    
Other Details:
Languages:  eng     Pagination:  87-93     Citation Subset:  IM    
Affiliation:
Division of Cardiothoracic Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. fullers@email.chop.edu
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MeSH Terms
Descriptor/Qualifier:
Balloon Dilatation / methods
Cardiac Surgical Procedures / methods*
Heart Valve Prosthesis Implantation / methods
Humans
Infant
Infant, Newborn
Mitral Valve Stenosis / congenital,  surgery*
Palliative Care
Treatment Outcome

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


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