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Repair of rheumatic mitral regurgitation in children.

Kumar AS - Ann Pediatr Cardiol (2011)

View Article: PubMed Central - PubMed

Affiliation: Pushpanjali Institute of Cardiac Sciences, Pushpanjali Crosslay Hospital, Ghaziabad, UP.

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Considering the disadvantages of prosthetic valve in the pediatric age-group, it is important for surgeons and cardiologists to be aware of the feasibility, techniques and outcomes of MV repair in this subgroup of patients... There are several publications on techniques of repair of MVs for various indications... However, a step-by-step “how to do text” with illustration can only be found in a few publications... The sternotomy incision is preferred in children with additional aortic valve pathology as well... For a superior cosmetic result a right thoracotomy is recommended for older children (15 kg or more)... Cardioplegia is delivered into the aortic root... The superior vena cava (SVC) and inferior vena cava (IVC) are looped... Chordal rupture is treated by i) reattachment of chordae ii) excision of ruptured chordae with a triangular resection of AML tip or Quadrangular resection of a PML scallop... The resultant defect is closed by a 5-0 suture. iii) By Chordal transfer... This step will show any free or ruptured chordae and residual areas of prolapse... An annuloplasty is necessary to remodel and reduce the dilated MV annulus... The AML can now be measured using the standard sizers used for mechanical valves... The atriotomy incision is now closed with 3-0 monofilament using two sutures which begin at either end of the incision... Tricuspid and aortic valve function.

No MeSH data available.


Post-repair transesophageal echocardiogram showing competent mitral valve
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Figure 8: Post-repair transesophageal echocardiogram showing competent mitral valve

Mentions: Using color Doppler MS is assessesd and any MR is quantified. No more than trivial to mild MR may be accepted [Figure 8].


Repair of rheumatic mitral regurgitation in children.

Kumar AS - Ann Pediatr Cardiol (2011)

Post-repair transesophageal echocardiogram showing competent mitral valve
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3104534&req=5

Figure 8: Post-repair transesophageal echocardiogram showing competent mitral valve
Mentions: Using color Doppler MS is assessesd and any MR is quantified. No more than trivial to mild MR may be accepted [Figure 8].

View Article: PubMed Central - PubMed

Affiliation: Pushpanjali Institute of Cardiac Sciences, Pushpanjali Crosslay Hospital, Ghaziabad, UP.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Considering the disadvantages of prosthetic valve in the pediatric age-group, it is important for surgeons and cardiologists to be aware of the feasibility, techniques and outcomes of MV repair in this subgroup of patients... There are several publications on techniques of repair of MVs for various indications... However, a step-by-step “how to do text” with illustration can only be found in a few publications... The sternotomy incision is preferred in children with additional aortic valve pathology as well... For a superior cosmetic result a right thoracotomy is recommended for older children (15 kg or more)... Cardioplegia is delivered into the aortic root... The superior vena cava (SVC) and inferior vena cava (IVC) are looped... Chordal rupture is treated by i) reattachment of chordae ii) excision of ruptured chordae with a triangular resection of AML tip or Quadrangular resection of a PML scallop... The resultant defect is closed by a 5-0 suture. iii) By Chordal transfer... This step will show any free or ruptured chordae and residual areas of prolapse... An annuloplasty is necessary to remodel and reduce the dilated MV annulus... The AML can now be measured using the standard sizers used for mechanical valves... The atriotomy incision is now closed with 3-0 monofilament using two sutures which begin at either end of the incision... Tricuspid and aortic valve function.

No MeSH data available.