| Rescue mitral valve repair one hour after birth. | |
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MedLine Citation:
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PMID: 20709700 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Congenital mitral regurgitation is rare and usually part of complex cardiac anomalies. When needed, early surgery represents a great challenge. In small babies avoiding valve replacement is desirable, but valve repair may be extremely complex. We describe an isolated congenital mitral regurgitation, successfully treated with conservative surgery about 1 h after birth. In a 30-year-old pregnant woman, fetal echocardiography revealed mitral annular dilatation with massive regurgitation, functional aortic atresia and a very small patent foramen ovale. Realizing that the baby had a poor chance of survival after birth, a cesarean section was scheduled at 37 weeks of pregnancy. The procedure was performed in the operating room next to the cardiac surgery theatre, where the newborn was urgently transferred. After an unsuccessful attempt of percutaneous atrial septostomy, a rescue surgical mitral repair was performed. To avoid mitral replacement, moderate residual regurgitation was accepted. Postoperative hospital stay was 57 days and the baby was discharged in good clinical condition. Residual mitral regurgitation was moderate at discharge and decreased thereafter. During a five-year follow-up the child remained asymptomatic with normal growth. Preserved ventricular function and progressive volume reduction of left heart chambers were observed. |
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Authors:
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Luca Deorsola; Enrico Chiappa; Gabriella Agnoletti; Pietro Angelo Abbruzzese |
Publication Detail:
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Type: Journal Article Date: 2010-08-13 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 11 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 716-8 Citation Subset: IM |
Affiliation:
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Division of Cardiac Surgery, Ospedale Infantile Regina Margherita, Piazza Polonia 94, Torino 10126, Italy. deorsola@libero.it |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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