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, Albert Starr

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

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 be carried out with low mortality and good long-term results using the Starr-Edwards caged ball prosthesis.

Original languageEnglish (US)
Pages (from-to)229-234
Number of pages6
JournalEuropean Journal of Cardio-thoracic Surgery
Volume3
Issue number3
StatePublished - 1989

Fingerprint

Prostheses and Implants
Mitral Valve
Mortality
Tricuspid Valve
Endocarditis
Aortic Valve
Reoperation
Cardiac Arrhythmias

Keywords

  • Children
  • Starr-Edwards valve
  • Valve replacement

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Guvendik, L., Cobanoglu, A., Davis, N. R., Fessler, C. L., & Starr, A. (1989). Valve replacement in children under 14 years of age: a review of 22 years of experience. European Journal of Cardio-thoracic Surgery, 3(3), 229-234.

Valve replacement in children under 14 years of age : a review of 22 years of experience. / Guvendik, L.; Cobanoglu, A.; Davis, N. R.; Fessler, C. L.; Starr, Albert.

In: European Journal of Cardio-thoracic Surgery, Vol. 3, No. 3, 1989, p. 229-234.

Research output: Contribution to journalArticle

Guvendik, L, Cobanoglu, A, Davis, NR, Fessler, CL & Starr, A 1989, 'Valve replacement in children under 14 years of age: a review of 22 years of experience', European Journal of Cardio-thoracic Surgery, vol. 3, no. 3, pp. 229-234.
Guvendik, L. ; Cobanoglu, A. ; Davis, N. R. ; Fessler, C. L. ; Starr, Albert. / Valve replacement in children under 14 years of age : a review of 22 years of experience. In: European Journal of Cardio-thoracic Surgery. 1989 ; Vol. 3, No. 3. pp. 229-234.
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