HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Fleming, W. H. Articles by Kugler, J. D. Search for Related Content PubMed PubMed Citation Articles by Fleming, W. H. Articles by Kugler, J. D.

The Annals of Thoracic Surgery, Vol 48, 404-408, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

Valve replacement in the right side of the heart in children: long-term follow-up

WH Fleming, LB Sarafian, AL Moulton, LA Robinson and JD Kugler
Section of Thoracic Surgery, University of Nebraska Medical Center, Omaha 68105.

Twenty-five patients (16 male, 9 female) underwent right-sided valve replacement (10 pulmonary valve replacement, 14 tricuspid valve replacement, 3 tricuspid plus pulmonary valve replacement, and 2 replacements of a single atrioventricular valve) at the University of Nebraska Medical Center from June 1977 to December 1986. Twenty-one patients (84%) are long-term survivors with 2,035 months follow-up (range, 41 to 143 months; mean, 96.9 months). Twenty-three Carpentier- Edwards bioprosthetic valves, one Ionescu-Shiley bioprosthetic valve, and nine St. Jude Medical valves were inserted. Follow-up of 17 patients with a Carpentier-Edwards valve ranged from 5 years 9 months to 11 years 9 months (mean, 8 years 11 months). To date there has been one reoperation after 3 years 4 months in this group. One patient who received an Ionescu-Shiley bioprosthesis required re-replacement at 20 months after operation. Three of 4 patients who received St. Jude mechanical valves and are long-term survivors have required replacement after 36 to 56 months. We conclude that the Carpentier-Edwards bioprosthetic valve is a viable option in the right side of the heart in the young age group when annular size is adequate to accommodate an appropriate bioprosthesis.

This article has been cited by other articles:

				F. Haas, C. Schreiber, J. Horer, M. Kostolny, K. Holper, and R. Lange Is There a Role for Mechanical Valved Conduits in the Pulmonary Position? Ann. Thorac. Surg., May 1, 2005; 79(5): 1662 - 1667. [Abstract] [Full Text] [PDF]

				K. R. Kanter, D. A. Fyfe, W. T. Mahle, J. M. Forbess, and P. M. Kirshbom Results with the freestyle porcine aortic root for right ventricular outflow tract reconstruction in children Ann. Thorac. Surg., December 1, 2003; 76(6): 1889 - 1895. [Abstract] [Full Text] [PDF]

				K. R. Kanter, J. M. Budde, W. J. Parks, V. K.H. Tam, S. Sharma, W. H. Williams, and D. A. Fyfe One hundred pulmonary valve replacements in children after relief of right ventricular outflow tract obstruction Ann. Thorac. Surg., June 1, 2002; 73(6): 1801 - 1807. [Abstract] [Full Text] [PDF]

				F. Nurozler and S. M Bradley St. Jude Medical Valve in Pulmonary Position: Anticoagulation and Thrombosis Asian Cardiovasc Thorac Ann, June 1, 2002; 10(2): 181 - 183. [Abstract] [Full Text] [PDF]

				H. E. Scully and C. S. Armstrong Tricuspid valve replacement: Fifteen years of experience with mechanical prostheses and bioprostheses J. Thorac. Cardiovasc. Surg., June 1, 1995; 109(6): 1035 - 1041. [Abstract] [Full Text]