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  • Title: Repeated mitral valve replacement in the growing child with congenital mitral valve disease.
    Author: Nudelman I, Schachner A, Levy MJ.
    Journal: J Thorac Cardiovasc Surg; 1980 May; 79(5):765-9. PubMed ID: 7366244.
    Abstract:
    The successful second-replacement of mitral valve prostheses in two children, age 5 and 9 years, is reported. In one, a parachute mitral valve deformity was first corrected at the age of 10 months by the small-size 00 Starr-Edwards prosthesis. The second child had mitral valve disease caused by Marfan's syndrome 1; the valve was initially replaced at the age of 3 years by a size 0 Starr-Edwards prosthesis. For both patients, in the period between the two interventions, the left ventricle had grown in size and the mitral anulus was not a limiting factor in the insertion of a larger prosthesis of the Björk-Shiley type. Follow-up periods of 1 and 6 years, respectively, confirm excellent clinical results. Problems concerning valve replacements in pediatric patients are discussed.
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