[Valve replacement in children].


Between May 1979 and September 1998, 202 children underwent surgical treatment for valvular heart disease. Of these 23, who ranged in age from 25 days to 15 years, underwent valve replacement, including 1 reoperation. The valve replacement consisted of the aortic valve in 5 patients, the mitral valve in 3, the tricuspid valves in 9, including 5 systemic atrioventricular valves for atrioventricular discordance, the pulmonary valve in 6, 5 bioprostheses and 18 mechanical prostheses. There were 4 operative deaths, 1 hospital death and 3 late deaths. At the 10-years follow-up, the actual survival rate was 67.8%, the event free rate was 76.1% and the freedom from reoperation rate was 86.2%. Valve re-replacement was performed in only 1 patient due to a thrombosed tricuspid valve. These results suggest that there is a small risk of major complications and reoperation in children who undergo valve replacement, whether a bioprosthetic valve or a mechanical valve. The long-term results of younger patients should be followed more closely according to their growth.


Citations per Year

119 Citations

Semantic Scholar estimates that this publication has 119 citations based on the available data.

See our FAQ for additional information.

Cite this paper

@article{Matsubayashi1999ValveRI, title={[Valve replacement in children].}, author={Keiji Matsubayashi and Yuji Ueda and Hitoshi Ogino and Takaaki Sugita and Kiichi Matsuyama and Takeshi Nomoto and Shinichi Yoshimura and Takakazu Yoshioka and Miyo Matsumura}, journal={Kyobu geka. The Japanese journal of thoracic surgery}, year={1999}, volume={52 4}, pages={274-80} }