VALVE REPAIR AND REPLACEMENT IN CHILDREN

Citation
Da. Lewis et Js. Tweddell, VALVE REPAIR AND REPLACEMENT IN CHILDREN, Current opinion in cardiology, 12(1), 1997, pp. 63-69
Citations number
37
Categorie Soggetti
Cardiac & Cardiovascular System
ISSN journal
02684705
Volume
12
Issue
1
Year of publication
1997
Pages
63 - 69
Database
ISI
SICI code
0268-4705(1997)12:1<63:VRARIC>2.0.ZU;2-V
Abstract
Therapy for valvular heart disease in children has undergone tremendou s progress over the past two decades. Interventional catheterization t echniques were pioneered with balloon valvuloplasty of pulmonic stenos is in infants. Therapeutic catheterization is the treatment of choice in critical pulmonic stenosis but remains somewhat controversial for n eonatal aortic stenosis. The use of cryopreserved homografts has impro ved reconstruction of the right ventricular outflow tract. The pulmona ry autograft (Ross) technique for aortic Valve replacement has now bee n applied in neonates, infants, and small children. Medium-term result s of this technique are now becoming available. Innovations have been few, however, in the therapy of tricuspid valve anomalies, especially Ebstein's malformation. Annuloplasty and repair techniques are used ve ry effectively for mitral insufficiency, whereas congenital mitral ste nosis remains extremely problematic in the younger child. (C) 1997 Rap id Science Publishers.