Valve Replacement in the Right Side of the Heart in Children: Long-Term Follow-up

W. H. Fleming, L. B. Sarafian, A. L. Moulton, L. A. Robinson, John Dale Kugler

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)404-408
Number of pages5
JournalAnnals of Thoracic Surgery
Volume48
Issue number3
DOIs
StatePublished - Jan 1 1989

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Bioprosthesis
Pulmonary Valve
Survivors
Tricuspid Valve
Reoperation
Age Groups

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Valve Replacement in the Right Side of the Heart in Children : Long-Term Follow-up. / Fleming, W. H.; Sarafian, L. B.; Moulton, A. L.; Robinson, L. A.; Kugler, John Dale.

In: Annals of Thoracic Surgery, Vol. 48, No. 3, 01.01.1989, p. 404-408.

Research output: Contribution to journalArticle

Fleming, W. H. ; Sarafian, L. B. ; Moulton, A. L. ; Robinson, L. A. ; Kugler, John Dale. / Valve Replacement in the Right Side of the Heart in Children : Long-Term Follow-up. In: Annals of Thoracic Surgery. 1989 ; Vol. 48, No. 3. pp. 404-408.
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