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01-11-2014 | Original Article

The early and mid-term results of mitral valve repair for mitral regurgitation in children

Authors: Zhaolei Jiang, Ju Mei, Fangbao Ding, Chunrong Bao, Jiaquan Zhu, Min Tang, Nan Ma, Jianbing Huang, Saie Shen

Published in: Surgery Today | Issue 11/2014

Abstract

Purpose

To review the surgical techniques and mid-term results of mitral valve repair in children with moderate or severe mitral regurgitation (MR).

Methods

One hundred and seven children with moderate or severe MR, aged 19.6 ± 8.5 months, were enrolled in this study. The surgical techniques used for mitral valve repair varied according to the mitral valve morphology, and included annuloplasty, annuloplasty ring, cleft closure, reconstruction of the posterior leaflet, etc. The concomitant cardiac anomalies were treated simultaneously. The results of repair were evaluated by transesophageal echocardiography performed during the operation and by serial transthoracic echocardiography performed during the follow-up.

Results

One hundred and six cases had no more than mild regurgitation intraoperatively, whereas only one case had moderate regurgitation. This patient underwent redo repair immediately, and the subsequent regurgitation was trivial. The in-hospital mortality rate was 0.9 % (1/107). The average follow-up was 46.5 ± 8.2 months. One patient died of heart failure 10 months postoperatively. The freedom from moderate or severe regurgitation after mitral valve repair was 92.3 ± 3.3 %.

Conclusion

Pediatric patients with moderate or severe MR require early surgical treatment. The early and mid-term results of mitral valve repair in pediatric patients were satisfactory.

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Title: The early and mid-term results of mitral valve repair for mitral regurgitation in children
Authors: Zhaolei Jiang
Ju Mei
Fangbao Ding
Chunrong Bao
Jiaquan Zhu
Min Tang
Nan Ma
Jianbing Huang
Saie Shen
Publication date: 01-11-2014
Publisher: Springer Japan
Published in: Surgery Today / Issue 11/2014
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-013-0816-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The early and mid-term results of mitral valve repair for mitral regurgitation in children

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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