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Valvular Heart Surgery in Infants and Children

Valvular Heart Surgery in Infants and Children Abstract Valvular heart disease in infants and children differs significantly from that seen in adults in etiology, operative indications, valve involvement, operative treatment, and results. One hundred and thirty children with isolated valvular lesions underwent operative correction at the Columbus (Ohio) Children's Hospital from 1960 to 1970. Over 90% had congenital rather than acquired heart disease. The pulmonary valve was most frequently involved with 70 patients undergoing valvulotomy and usually infundibulectomy for severe stenosis (gradient range, 60 to 160 mm Hg). Forty infants and children had congenital aortic stenosis and required valvulotomy with or without valvuloplasty (mean gradient, 92 mm Hg). Mitral valvuloplasty was carried out in six children for insufficiency, while one child underwent a closed commissurotomy for congenital stenosis. Prosthetic valve replacement was necessary in 13 children. The overall operative mortality was 7.7% (ten deaths). References 1. Varco RL, in discussion, Muller WH Jr, Longmire WP Jr: The surgical treatment of cardiac valvular stenosis . Surgery 31:41, 1951. 2. Sellors TH: Surgery of pulmonary stenosis . Lancet 1:988, 1948.Crossref 3. Brock RC: Pulmonary valvulotomy for the relief of congenital pulmonary stenosis . Brit Med J 1:1121, 1948.Crossref 4. Himmelstein A, Jameson AG, Fishman AP, et al: Closed transventricular valvulotomy for pulmonic stenosis . Surgery 42:121-134, 1957. 5. McGoon, DC, Geha AS, Scofield EL, et al: Surgical treatment of congenital aortic stenosis . Dis Chest 55: 388-394, 1969.Crossref 6. Collins HA, Daniel RA, Scott HW, et al: Surgery for mitral valvular disease during childhood and adolescence . J Thorac Cardiovasc Surg 51:639-648, 1956. 7. Kahn DR, Stern AM, Sigmann JM, et al: Long term results of valvuloplasty for mitral insufficiency in children . J Thorac Cardiovasc Surg 53:1-6, 1967. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Valvular Heart Surgery in Infants and Children

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References (10)

Publisher
American Medical Association
Copyright
Copyright © 1971 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1971.01350110152026
Publisher site
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Abstract

Abstract Valvular heart disease in infants and children differs significantly from that seen in adults in etiology, operative indications, valve involvement, operative treatment, and results. One hundred and thirty children with isolated valvular lesions underwent operative correction at the Columbus (Ohio) Children's Hospital from 1960 to 1970. Over 90% had congenital rather than acquired heart disease. The pulmonary valve was most frequently involved with 70 patients undergoing valvulotomy and usually infundibulectomy for severe stenosis (gradient range, 60 to 160 mm Hg). Forty infants and children had congenital aortic stenosis and required valvulotomy with or without valvuloplasty (mean gradient, 92 mm Hg). Mitral valvuloplasty was carried out in six children for insufficiency, while one child underwent a closed commissurotomy for congenital stenosis. Prosthetic valve replacement was necessary in 13 children. The overall operative mortality was 7.7% (ten deaths). References 1. Varco RL, in discussion, Muller WH Jr, Longmire WP Jr: The surgical treatment of cardiac valvular stenosis . Surgery 31:41, 1951. 2. Sellors TH: Surgery of pulmonary stenosis . Lancet 1:988, 1948.Crossref 3. Brock RC: Pulmonary valvulotomy for the relief of congenital pulmonary stenosis . Brit Med J 1:1121, 1948.Crossref 4. Himmelstein A, Jameson AG, Fishman AP, et al: Closed transventricular valvulotomy for pulmonic stenosis . Surgery 42:121-134, 1957. 5. McGoon, DC, Geha AS, Scofield EL, et al: Surgical treatment of congenital aortic stenosis . Dis Chest 55: 388-394, 1969.Crossref 6. Collins HA, Daniel RA, Scott HW, et al: Surgery for mitral valvular disease during childhood and adolescence . J Thorac Cardiovasc Surg 51:639-648, 1956. 7. Kahn DR, Stern AM, Sigmann JM, et al: Long term results of valvuloplasty for mitral insufficiency in children . J Thorac Cardiovasc Surg 53:1-6, 1967.

Journal

Archives of Surgery – American Medical Association

Published: Nov 1, 1971

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