Valve replacement in children under 14 years of age: A review of 22 years of experience

L. Guvendik, A. Cobanoglu, N. R. Davis, C. L. Fessler, A. Starr

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


From 1964 to 1986, a total of 18 valve replacement operations were performed in 15 children under 14 years of age, with 13% operative mortality. Eleven children had a mitral valve replacement, with 3 subsequently requiring reoperation. Twelve Starr-Edwards caged ball prostheses, 1 Björk-Shiley and 1 Carpentier-Edwards prosthesis were implanted in the mitral position, with 18% operative mortality. Three children underwent aortic valve replacement, 1 with a Björk-Shiley prosthesis and 2 with a Starr-Edwards. One patient had tricuspid valve replacement utilizing a Starr- Edwards valve. Thirteen patients had one or more cardiac operations prior to valve replacement. Two late deaths occurred 8 and 18 months, respectively, after operation in the mitral valve replacement group, 1 from a cardiac arrhythmia and 1 from fulminating prosthetic valve endocarditis. There were no late deaths in other patients. There was one thromboembolic episode in the entire group. At follow-up, 10 patients were classified as New York Heart Association Functional Class I and 1 patient was Class III. Valve replacement in children can he carried out with low mortality and good long-term results using the Starr-Edwards caged ball prosthesis. [Eur J Cardio-thorac Surg (1989) 3: 229-234].

Original languageEnglish (US)
Pages (from-to)229-234
Number of pages6
JournalEuropean Journal of Cardio-Thoracic Surgery
Issue number3
StatePublished - May 1989


  • Valve replacement - Children - Starr- Edwards valve

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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