Surgical reconstruction techniques for mitral valve insufficiency from lesions with restricted leaflet motion in infants and children
- Delmo Walter, Eva Maria
- Komoda, Takeshi
- Siniawski, Henryk
- Hetzer, Roland
DOIAbstract
ObjectivesWe report our 23-year experience with leaflet and annular remodeling techniques in infants and children with congenital mitral valve insufficiency from lesions with restricted leaflet motion (type III).MethodsA review of the medical records, including follow-up echocardiographic studies of 49 children, aged 20 days to 14 years, was performed. These children were divided into age groups of 0 to <1 year (n = 4; mean age, 3.2 ± 1.2 months), 1 to 5 years (n = 17; mean age, 2.8 ± 1.6 years), and older than 5 to 15 years (n = 28; mean age, 12.3 ± 2.5 years). All had severe mitral insufficiency from type III Carpentier’s functional classification of mitral valve lesion. Restricted leaflet motion was secondary to commissural fusion in 17 ...
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