VALVE-REPLACEMENT FOR CHILDREN - REPORT OF 2 CASES

被引：0

作者：

TAKAHASHI, T

MORISHITA, Y

ISHIKAWA, S

OHTAKI, A

SATO, Y

SUZUKI, M

机构：

[1] Second Department of Surgery, Gunma University School of Medicine, Maebashi

来源：

JOURNAL OF PEDIATRIC SURGERY | 1995年 / 30卷 / 05期

关键词：

VALVE REPLACEMENT; CHILD; INFECTIVE ENDOCARDITIS; CONGENITAL; MITRAL STENOSIS;

D O I：

10.1016/0022-3468(95)90698-3

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

The authors report on two children who underwent valve replacement. Case 1: A 10-year-old boy with high fever and severe heart failure was diagnosed as having aortic regurgitation and left ventriculo-right atrial fistula caused by active infective endocarditis. An aortic annular defect was repaired by a pericardial patch to enlarge the aortic annulus followed by aortic valve replacement with a 17-mm Bjork-Shiley prosthetic valve. He is doing well 2 years after surgery. Case 2: A 3-year-old girl was diagnosed as having congenital mitral stenosis with severe pulmonary hypertension. Mitral valve stenosis was a commissural fusion type according to the Carpentier's classification. An open mitral commissurotomy was attempted initially, resulting in severe mitral regurgitation. Then, the mitral valve was replaced with a 16-mm CarboMedicus bileaflet valve. Her postoperative course was uneventful and residual pulmonary hypertension decreased gradually. The selection of prosthetic valves is important in its type and size in order to obtain as large an orifice as possible. Careful postoperative follow-up is mandatory. Copyright (C) 1995 by W.B. Saunders Company

引用

页码：713 / 714

页数：2

共 6 条

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