Original Article
Mitral valve repair with an annuloplasty ring for mitral valve regurgitation in children and the short-term follow up
Xinrong Liu, Renjie Hu, Yanjuan Sun, Wei Dong, Haibo Zhang, Hongbin Zhu
Published 2019-07-25
Cite as Chin J Thorac Cardiovasc Surg, 2019, 35(7): 402-405. DOI: 10.3760/cma.j.issn.1001-4497.2019.07.004
Abstract
ObjectiveMitral valve regurgitation often leads to cardiac insufficiency or even heart failure.
MethodsWe tried a mitral valve annuloplasty with a ring to improve the effect of mitral valvuloplasty, 5 males and 6 females; aged(8.0±4.5)years; weight(26.1±13.9)kg. From February 2015 to December 2017, 11 children underwent mitral valve annuloplasty with an mitral valve ring in our hospital. Immediately after surgery, the degree of mitral valve regurgitation was significant improved from moderate-severe to mild-moderate(P<0.05).
Results1 case of early death, 1 case had a mitral valve replacement because of early hemolysis. The rest of the children were discharged smoothly. The follow-up of 3 months of mitral valve regurgitation was not aggravated comparing with that immediately after surgery(P>0.05). There was no worsening of cardiac function at follow-up(P>0.05), and no other adverse events. Therefore, artificial mitral annuloplasty with a ring is effective in treating mitral regurgitation in children. The annulus had potential growth characteristics and did not require lifelong oral anticoagulant.
ConclusionFor some patients with difficulty, this method of mitral valvuloplasty can enlarge the surgical indication and improve the quality of life of children. The treatment effect is good.
Key words:
Ccongenital heart disease, mitral; Valve regurgitation; Annuloplasty ring
Contributor Information
Xinrong Liu
Department of Pediatric Cardiovascular Surgery, Shanghai Children' s Medical Center Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China
Renjie Hu
Department of Pediatric Cardiovascular Surgery, Shanghai Children' s Medical Center Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China
Yanjuan Sun
Department of Pediatric Cardiovascular Surgery, Shanghai Children' s Medical Center Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China
Wei Dong
Department of Pediatric Cardiovascular Surgery, Shanghai Children' s Medical Center Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China
Haibo Zhang
Department of Pediatric Cardiovascular Surgery, Shanghai Children' s Medical Center Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China
Hongbin Zhu
Department of Pediatric Cardiovascular Surgery, Shanghai Children' s Medical Center Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China
