| Mitral repair in complete atrioventricular canal. Ease of correction in early infancy. | |
| | |
MedLine Citation:
|
PMID: 6827846 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
During the past 5 years all patients with complete atrioventricular (AV) were subjected to surgical correction regardless of age. Thus we were able to assess the ease and reliability of mitral repair in early infancy. Key features of operation include division of bridging leaflets when indicated, selection of a patch sufficiently small to prevent postoperative annular dilation, attachment of the leaflets to the patch with continuous nonpledget-supported sutures at a level determined by the chordal structure, and, based on the size of the mural leaflet, construction of a bicuspid or tricuspid mitral valve. Operative mortality and postoperative morbidity were no greater in patients under 6 months of age than in older patients. Reoperation for mitral regurgitation was required in three patients. In all of them, the primary reason for the failure of repair was that the mitral valve had been left tricuspid; in two of them, the mitral anulus was dilated, as well. Repair was uniformly accomplished by bicuspidization, combined in two instances with a Wooler-type annuloplasty and shortening of the free margin of the aortic leaflet. The absence of secondary scarring of the leaflets in the patients under 6 months of age facilitated repair in this age group. Early repair is possible, and preferable, provided that meticulous attention is paid to the technical features of the repair and a proper decision is made with regard to treatment of the mitral "cleft." |
| | |
Authors:
|
P A Abbruzzese; J Livermore; C O Sunderland; D L Nunley; H Issenberg; S Khonsari; C E Garcia; A Starr |
Related Documents
:
|
15974526 - Impact of intraoperative echocardiography/surgery team on successful mitral valve repai... 8751296 - Encephaloceles of the anterior cranial fossa. 10421116 - Midterm results of mitral valve repair with homemade annuloplasty rings. 10355406 - Minimally invasive mitral valve surgery: the subxiphoid approach. 9109586 - Changes in condylar postition and occlusion associated with maxillary expansion for cor... 23549056 - Use of pallidal deep brain stimulation in postinfarct hemidystonia. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of thoracic and cardiovascular surgery Volume: 85 ISSN: 0022-5223 ISO Abbreviation: J. Thorac. Cardiovasc. Surg. Publication Date: 1983 Mar |
Date Detail:
|
Created Date: 1983-04-15 Completed Date: 1983-04-15 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0376343 Medline TA: J Thorac Cardiovasc Surg Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 388-95 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aging Cardiac Surgical Procedures / methods* Child Child, Preschool Follow-Up Studies Heart Atria / abnormalities*, surgery Heart Ventricles / abnormalities*, surgery Humans Infant Mitral Valve Insufficiency / physiopathology, surgery* Postoperative Complications / mortality Vascular Resistance |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Surgical approach to critical pulmonary valve stenosis in infants less than six months of age.
Next Document: Guided biopsies of abnormalities on nuclear bone scans. Technique and indications.