Document Detail


Monocusp valve in right ventricular outflow tract.
MedLine Citation:
PMID:  10093857     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sixty patients aged 5 days-10.3 years (mean 2.9 years) received monocusp valve implants in the right ventricular outflow tract in corrective surgery for congenital heart disease. The free edge of the monocusp valve was attached to the posterior wall of the new pulmonary tract to cover the entire root of the pulmonary tract when the monocusp valve closed. Follow-up was 3.8 (0-11.5) years. Early mortality was 8.3% (5/60) and late mortality 3.6% (2/55). Monocusp valve regurgitation developed in all patients. Moderate or severe valve failure was found in 30 patients at median 1.4, mean 2.2 (0.2-6.8) years postoperatively. Repeat surgery was performed in seven cases because of monocusp failure. It is emphasized that monocusps potentially give short-term reduction of pulmonary regurgitation when used for right ventricular outflow tract reconstruction. Only long-term follow-up can disclose whether all patients with a monocusp valve will require repeat surgery.
Authors:
A E Fiane; H L Lindberg
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian cardiovascular journal : SCJ     Volume:  33     ISSN:  1401-7431     ISO Abbreviation:  Scand. Cardiovasc. J.     Publication Date:  1999  
Date Detail:
Created Date:  1999-05-06     Completed Date:  1999-05-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9708377     Medline TA:  Scand Cardiovasc J     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  33-8     Citation Subset:  IM    
Affiliation:
Department of Surgery A, Rikshospitalet, University of Oslo, Norway.
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Female
Follow-Up Studies
Heart Defects, Congenital / complications,  mortality,  surgery
Heart Valve Prosthesis Implantation / methods*
Humans
Infant
Infant, Newborn
Male
Palliative Care
Postoperative Complications / epidemiology
Prosthesis Failure
Pulmonary Valve
Pulmonary Valve Insufficiency / epidemiology
Reoperation
Ventricular Outflow Obstruction / complications,  mortality,  surgery*

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


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