Prosthetic valve replacement in children.

Archives of Surgery
H C StanselN S Talner

Abstract

Reported clinical experience with prosthetic valve replacement in children have suggested a high operative mortality. We placed 25 valves in 24 children with one operative death. There has been one late death related to pacemaker malfunction, but the remainder of the patients have generally done extremely well. The children have not undergone elective anticoagulation, and the long-term embolism rate has not exceeded the incidence of systemic embolization in adults who have been controlled on warfarin sodium (Coumadin) therapy. The objective of prosthetic valve replacement is myocardial preservation. We believe that valve replacement with currently available prostheses should be undertaken in any child with valvular malfunction who is not well controlled with good medical management.

Citations

Jan 1, 1982·Pediatric Cardiology·R E RingelM A Berman
Oct 1, 1981·Circulation·F AttieM A Martinez-Rios
Jan 1, 1984·Scandinavian Journal of Thoracic and Cardiovascular Surgery·J BarakB A Vidne
Sep 15, 1985·The American Journal of Cardiology·L M BradleyL P Scott

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