| Novel approach to mitral valve repair in childhood dilated cardiomyopathy. | |
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MedLine Citation:
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PMID: 21593713 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Evidence is mounting that mitral valve repair can improve symptoms in adults with dilated cardiomyopathy. Data is currently lacking for children with dilated cardiomyopathy and options for annuloplasty are limited in children. We report on the successful management of a 21 month-old child in heart failure from dilated cardiomyopathy and severe mitral regurgitation. The echocardiogram showed severely dilated left heart cavities, severe mitral regurgitation from a dilated annulus (23 mm, Z-score 1.74) with discrete anterior leaflet tethering, and moderate systolic dysfunction. The mitral valve was repaired using a 16 mm Bioring Kalangos biodegradable annuloplasty ring. The patient was extubated on the third postoperative hour and discharged on the fifth postoperative day with trivial mitral regurgitation and a 5 mmHg mean transvalvular gradient. At 12 months, the patient is in NYHA class I and presents trivial central mitral regurgitation without any transmitral gradient. This represents the first report in successfully managing a child with dilated cardiomyopathy with mitral regurgitation using a novel biodegradable annuloplasty ring, which has the potential to durably remodel the mitral annulus and grow with the patient. |
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Authors:
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P Myers; M Beghetti; M Cikirikcioglu; J Sierra; Y Aggoun; R Touati; A Kalangos |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Minerva chirurgica Volume: 66 ISSN: 0026-4733 ISO Abbreviation: Minerva Chir Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-05-19 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0400726 Medline TA: Minerva Chir Country: Italy |
Other Details:
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Languages: eng Pagination: 119-21 Citation Subset: IM |
Affiliation:
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Division of Cardiovascular Surgery, Geneva University Hospital, Geneva, Switzerland 2 Division of Pediatric Cardiology, Geneva University Hospital, Geneva, Switzerland 3 Division of Pediatric Cardiac Surgery, Bou Ismaïl, Algeria - patrick.myers@hcuge.ch. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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