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World J Pediatr Congenit Heart Surg · Jan 2019
Case Reports"Splint" Mitral Valve Repair for Destructive Endocarditis in Children.
- Michael Gritti, Anne Ferris, Amee Shah, Emile Bacha, and David Kalfa.
- 1 Pediatric Cardiac Surgery, Children's Hospital of New York-Presbyterian, Columbia University Medical Center, Columbia University, New York, NY, USA.
- World J Pediatr Congenit Heart Surg. 2019 Jan 1; 10 (1): 121-124.
AbstractMedical management of infective endocarditis in the pediatric population has an associated in-hospital mortality rate of up to 25%. In the past, infective endocarditis of the mitral valve was surgically managed with a valve replacement. Now, there is a shift toward repair. However, for complex lesions in pediatric patients, many institutions are still hesitant to perform a mitral valve repair. We describe the cases of three children with destructive mitral valve endocarditis and risk factors for higher perioperative mortality and morbidity who were successfully treated with a complex mitral valve repair with "splint" patch plasty of the posteromedial commissure.
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