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Outcomes of Mechanical Mitral Valve Replacement in Children

Tuesday, January 15, 2019

Submitted by

Claire Vernon

Source

Source Name: The Annals of Thoracic Surgery

Source URL: https://doi.org/10.1016/j.athoracsur.2018.07.069

Author(s)

Chizitam Ibezim, Amber Leila Sarvestani, Jessica H. Knight, Omar Qayum, Noor Alshami, Elizabeth Turk, James St. Louis, Courtney McCracken, James H. Moller, Lazaros Kochilas, Geetha Raghuveer

Ibezim and colleagues examined outcomes for patients undergoing their first mechanical mitral valve replacement (M-MVR) before 21 years of age. Using information from the Pediatric Cardiac Care Consortium database, the authors performed a retrospective analysis of 441 children from 36 centers in the United States. Nearly 60% of patients were less than 6 years old when they underwent their first M-MVR, and the most common diagnoses were complete and partial atrioventricular canal defects. Mortality within 90 days was 11.1%, and 76% of patients who survived more than 90 days were still alive and transplant-free after 20 years. Early risk factors were age younger than 2 years and concurrent mechanical valve replacement of another valve.