• Ann. Thorac. Surg. · Jul 2001

    Case Reports

    Emergency pulmonary autograft mitral valve replacement in a child.

    • M B Mitchell, G S Maharajh, M R Bielefeld, C G DeGroff, and D R Clarke.
    • Division of Cardiothoracic Surgery, The Children's Hospital, Denver, Colorado 80218, USA. mitchell.max@tchden.org
    • Ann. Thorac. Surg. 2001 Jul 1; 72 (1): 251-3.

    AbstractMitral valve replacement in small children imposes significant clinical difficulties because of the relatively small mechanical prosthetic valves required and the need for lifelong anticoagulation therapy. A child weighing 10.4 kg presented with thrombosis of her 19-mm mechanical mitral prosthesis 4 weeks after implantation despite appropriate oral anticoagulation therapy. An emergency mitral valve replacement with a pulmonary autograft was successfully performed with encouraging short-term results.

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