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"Splint" Mitral Valve Repair for Destructive Endocarditis in Children
Michael Gritti1,2, Anne Ferris3, Amee Shah3
11 Pediatric Cardiac Surgery, Children's Hospital of New York-Presbyterian, Columbia University Medical Center, Columbia University, New York, NY, USA.
World Journal for Pediatric & Congenital Heart Surgery
|August 22, 2018
Summary
Pediatric infective endocarditis has high mortality. Complex mitral valve repair using "splint" patch plasty offers a successful alternative to valve replacement in children with destructive lesions, improving outcomes.
Area of Science:
- Pediatric Cardiology
- Cardiac Surgery
- Infectious Diseases
Background:
- Infective endocarditis in children carries a significant in-hospital mortality risk (up to 25%).
- Historically, mitral valve replacement was standard for severe cases, but a trend towards repair is emerging.
- Complex mitral valve lesions in pediatric patients often lead to hesitation in performing repairs.