Prosthetic Valve Replacement in Children: Results in 44 Patients

Leonard C. Blieden; Aldo R. Castaneda; Demetre M. Nicoloff; C. Walton Lillehei; James H Moller

doi:10.1016/S0003-4975(10)65265-4

Prosthetic Valve Replacement in Children: Results in 44 Patients

Leonard C. Blieden, Aldo R. Castaneda, Demetre M. Nicoloff, C. Walton Lillehei, James H Moller

Pediatric Cardiology

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16 Scopus citations

Abstract

This report presents an experience with 44 children, including 9 less than 5 years of age, who were operated upon for replacement of a cardiac valve. Our early operative mortality was 60%, whereas in the past 4 years it has been only 30%. We have operated only on significantly symptomatic children for whom no other therapy was available. From our experience, we cannot judge the necessity of anticoagulants. No patients have required a second operation because the valve has been outgrown, although several patients who underwent mitral valve replacement have had postoperative gradients across the prosthesis.

Original language	English (US)
Pages (from-to)	545-552
Number of pages	8
Journal	Annals of Thoracic Surgery
Volume	14
Issue number	5
DOIs	https://doi.org/10.1016/S0003-4975(10)65265-4
State	Published - 1972

Bibliographical note

Funding Information:
From the Departments of Pediatrics and Surgery, The University of Minnesota Medical School, Minneapolis, Minn. This study was supported by The Dwan Family Fund. Accepted €or publication March 21, 1972. Address reprint requests to Dr. Moller, Box 447, University of Minnesota Hospitals, Minneapolis, Minn. 55455.

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title = "Prosthetic Valve Replacement in Children: Results in 44 Patients",

abstract = "This report presents an experience with 44 children, including 9 less than 5 years of age, who were operated upon for replacement of a cardiac valve. Our early operative mortality was 60%, whereas in the past 4 years it has been only 30%. We have operated only on significantly symptomatic children for whom no other therapy was available. From our experience, we cannot judge the necessity of anticoagulants. No patients have required a second operation because the valve has been outgrown, although several patients who underwent mitral valve replacement have had postoperative gradients across the prosthesis.",

author = "Blieden, {Leonard C.} and Castaneda, {Aldo R.} and Nicoloff, {Demetre M.} and Lillehei, {C. Walton} and Moller, {James H}",

note = "Funding Information: From the Departments of Pediatrics and Surgery, The University of Minnesota Medical School, Minneapolis, Minn. This study was supported by The Dwan Family Fund. Accepted €or publication March 21, 1972. Address reprint requests to Dr. Moller, Box 447, University of Minnesota Hospitals, Minneapolis, Minn. 55455.",

year = "1972",

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T1 - Prosthetic Valve Replacement in Children

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AU - Blieden, Leonard C.

AU - Castaneda, Aldo R.

AU - Nicoloff, Demetre M.

AU - Lillehei, C. Walton

AU - Moller, James H

N1 - Funding Information: From the Departments of Pediatrics and Surgery, The University of Minnesota Medical School, Minneapolis, Minn. This study was supported by The Dwan Family Fund. Accepted €or publication March 21, 1972. Address reprint requests to Dr. Moller, Box 447, University of Minnesota Hospitals, Minneapolis, Minn. 55455.

PY - 1972

Y1 - 1972

N2 - This report presents an experience with 44 children, including 9 less than 5 years of age, who were operated upon for replacement of a cardiac valve. Our early operative mortality was 60%, whereas in the past 4 years it has been only 30%. We have operated only on significantly symptomatic children for whom no other therapy was available. From our experience, we cannot judge the necessity of anticoagulants. No patients have required a second operation because the valve has been outgrown, although several patients who underwent mitral valve replacement have had postoperative gradients across the prosthesis.

AB - This report presents an experience with 44 children, including 9 less than 5 years of age, who were operated upon for replacement of a cardiac valve. Our early operative mortality was 60%, whereas in the past 4 years it has been only 30%. We have operated only on significantly symptomatic children for whom no other therapy was available. From our experience, we cannot judge the necessity of anticoagulants. No patients have required a second operation because the valve has been outgrown, although several patients who underwent mitral valve replacement have had postoperative gradients across the prosthesis.

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Prosthetic Valve Replacement in Children: Results in 44 Patients

Abstract

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