Mitral Valve Replacement with the Pulmonary Autograft in Children: A Word of Caution |
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| Authors: | Sachin Talwar Pranava Sinha Achintya Moulick Richard Jonas |
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| Affiliation: | (1) Department of Cardiovascular Surgery, Children’s National Medical Center, 111 Michigan Avenue NW, Washington, DC, 20010, USA |
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| Abstract: | A 4½-month-old patient who underwent mitral valve replacement for congenital mitral stenosis using a pulmonary autograft is reported. Failure of the autograft resulted in pulmonary hypertension, leading to pulmonary regurgitation in the reconstructed right ventricular outflow tract, then tricuspid regurgitation, refractory right heart failure, and death. Caution should be exercised in applying this procedure with children, particularly those at risk for pulmonary hypertension. |
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| Keywords: | Congenital mitral valve disease Mitral valve replacement Pulmonary autograft |
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