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Outcome of a repair-oriented strategy for the aortic valve in children

Pramod Kandakure1, Natasha Prior, Giri Soda

  • 1Cardiac Surgical Unit, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom.

World Journal for Pediatric & Congenital Heart Surgery
|March 27, 2014
PubMed

Insights

Aortic valve repair in children shows good mid-term outcomes, offering a promising surgical option for pediatric aortic valve disease. This strategy effectively reduced stenosis gradients and improved regurgitation, with high freedom from reintervention.

Area of Science:

  • Pediatric Cardiology
  • Cardiac Surgery
  • Congenital Heart Disease

Background:

  • Aortic valve disease in children often requires surgical intervention.
  • Evaluating repair-oriented strategies is crucial for long-term pediatric cardiac health.
  • Understanding mid-term outcomes informs clinical decision-making for aortic valve disease in pediatric populations.

Purpose of the Study:

  • To assess the mid-term results of a repair-focused approach for aortic valve issues in children.
  • To determine the efficacy and safety of aortic valve repair in pediatric patients.
  • To evaluate the impact of repair on aortic stenosis and regurgitation in children.

Main Methods:

  • A cohort of 39 children underwent aortic valve repair between 2007 and 2011.
  • Median patient age was 5.5 years, with a median follow-up of 12.7 months.
  • Data collected included pre- and post-operative gradients, regurgitation severity, and reintervention rates.

Main Results:

  • Early mortality was 7.7%, primarily in complex cases; 5.1% required early revision.
  • Aortic stenosis gradient significantly decreased post-repair (P=.02) and remained stable.
  • Aortic regurgitation improved in all moderate/severe cases (P=.04), with 95% freedom from reintervention at 3 years.

Conclusions:

  • A repair-oriented strategy for pediatric aortic valve disease yields satisfactory early and mid-term results.
  • This approach is a viable and promising management option for children with aortic valve conditions.
  • Successful repair can significantly improve hemodynamic function and reduce the need for future interventions.
Abstract

Keywords:
CHDaortic valveheart valvepediatricrepairvalve lesions

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