Late pulmonary valve replacement in congenital heart disease patients without original congenital pulmonary valve pathology.

Pediatric Cardiology
Brian KogonWendy Book

Abstract

Many congenital heart defects with pulmonary valve pathology are repaired or palliated in childhood. It is anticipated that these patients will need subsequent pulmonary valve replacement due to the pulmonary regurgitation or right ventricular dilation/failure that results from their original operation. Interestingly, some patients with prior congenital heart surgery and no congenital pulmonary valve pathology require pulmonary valve replacement in adulthood. The current study analyzed this subset of patients. The pediatric and adult congenital cardiac surgical databases at a large academic center were reviewed from 2001 to 2008 for pulmonary valve replacements. Patients without congenital pulmonary valve disease were identified. Preoperative, operative, and postoperative data were analyzed. Between 2001 and 2008, five patients with congenital heart disease but no pulmonary valve pathology underwent late pulmonary valve replacement. The initial congenital diagnoses were coarctation/ventricular septal defect (n = 3), complete atrioventricular septal defect (n = 1), and anomalous left coronary artery from the pulmonary artery (PA) (n = 1). All five patients had undergone main PA manipulation during their previous operations. Four...Continue Reading

References

Nov 1, 1990·The Annals of Thoracic Surgery·P W BraunsteinP C Oslizlok
Sep 1, 1993·The Annals of Thoracic Surgery·T E AcuffS R Hazelrigg
Oct 27, 1999·The Journal of Thoracic and Cardiovascular Surgery·C StammP J del Nido
May 13, 2003·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Constantine MavroudisCarl L Backer
Apr 28, 2006·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Tal Geva

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Citations

Mar 1, 2013·Journal of Biomechanical Engineering·Bahar FataMichael S Sacks
Sep 28, 2010·The Annals of Thoracic Surgery·Takeshi ShinkawaAnthony Azakie
Jun 13, 2013·Journal of Biomechanical Engineering·Bahar FataMichael S Sacks

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