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Mitral Valvuloplasty for Isolated Congenital Mitral Valve Regurgitation
Mitral Valvuloplasty for Isolated Congenital Mitral Valve Regurgitation
Miyamura, Haruo
52924
Kanazawa, Hiroshi
52925
Sato, Isamu
52926
Yokosawa, Tadao
52927
congenital mitral regurgitation
mitral valvuloplasty
pediatric cardiac disease
Mitral valve regurgitation (MR) is uncommon as an isolated lesion in congenital heart disease. In 1995, we encountered two children with congenital isolated MR complicated with heart failure, and both underwent valvuloplastic surgery. Resection and/or plication of the redundant leaflets combined with annuloplasty for the dilated annulus successfully restored the valve competency. Traditionally prosthetic valve replacements have been performed for this condition; however, as a prosthetic valve inhibits annular growth in children, a gradual progression of mitral stenosis is the main problem later in life. Valvuloplasty allows the growth of the valve apparatus, and moreover, does not require postoperatively the troublesome life-long anticoagulation therapy. Valvuloplasty in congenital MR is enabled with a precise application of reconstructive techniques, and should be the procedure of choice for pediatric patients.
departmental bulletin paper
Niigata University School of Medicine
1996-06
application/pdf
Acta medica et biologica
2
44
93
97
Acta medica et biologica
AA00508361
05677734
https://niigata-u.repo.nii.ac.jp/record/6438/files/44(2)_93-97.pdf
eng