Vol.3 - No.1

Surgical repair of congenital mitral valve malformations in infancy and childhood: A single-center 36-year experience

By : baghaei

Keywords : -

Objective: We sought to evaluate the results of surgical re-
pair and determine predictors for the late outcome of con-
genital mitral valve dysplasia.
Methods: Preoperative, operative and postoperative data
were obtained from an institutional database; follow-up
data came from regular clinical evaluation at our institu-
tion or elsewhere. Patients were divided into isolated and
complex cases according to the complexity of associated
lesions.

Results

Results: Between 1972 and 2008, 93 patients (43 male and
50 female patients) underwent mitral repair (median, 4.5
years; range, 0.16-19.8 years). Predominant mitral regur-
gitation was present in 52%. Associated cardiac anomalies
were present in 72%. Sixty-one patients were in the com-
plex group. All patients underwent successful mitral repair.
Surgical repair was tailored to the patient's valve anatomy.
Early death was 7.5%. The postoperative course was un-
eventful in 86% of patients. At a mean follow-up of 10.3
years (median, 8.4 years; completeness, 94%), late mor-
tality is 8% (7 patients). Twelve patients underwent mitral
reintervention (11 replacements and 1 repair). Among the
80 survivors, 82.5% were in New York Heart Association

Discussion

No reviews entered yet. Be the first.

Join The Discussion

enter a review: