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Pediatric Cardiology
Published in: Pediatric Cardiology 6/2009

01-08-2009 | Case Report

Mitral Valve Replacement with the Pulmonary Autograft in Children: A Word of Caution

Authors: Sachin Talwar, Pranava Sinha, Achintya Moulick, Richard Jonas

Published in: Pediatric Cardiology | Issue 6/2009

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Abstract

A 4½-month-old patient who underwent mitral valve replacement for congenital mitral stenosis using a pulmonary autograft is reported. Failure of the autograft resulted in pulmonary hypertension, leading to pulmonary regurgitation in the reconstructed right ventricular outflow tract, then tricuspid regurgitation, refractory right heart failure, and death. Caution should be exercised in applying this procedure with children, particularly those at risk for pulmonary hypertension.
Literature
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Athanasiou T, Cherian A, Ross D (2004) The Ross II procedure: pulmonary autograft in the mitral position. Ann Thorac Surg 78:1489–1495PubMedCrossRef
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Metadata
Title
Mitral Valve Replacement with the Pulmonary Autograft in Children: A Word of Caution
Authors
Sachin Talwar
Pranava Sinha
Achintya Moulick
Richard Jonas
Publication date
01-08-2009
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 6/2009
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-009-9431-4

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