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[Valve prostheses in children]
Archives Des Maladies Du Coeur Et Des Vaisseaux
|February 1, 1976
Insights
Pediatric heart valve replacement outcomes vary by condition and age. Rheumatic valve disorders in older children yield better results than congenital malformations in infants.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Medical Device Research
Context:
- Analysis of 94 heart valve replacements in 93 pediatric patients (under 14 years).
- Data aggregated from 20 medico-surgical teams.
- Focus on intra-operative and post-operative outcomes.
Purpose:
- To evaluate the efficacy and safety of heart valve replacement in pediatric patients.
- To identify patient factors influencing surgical outcomes.
- To compare results across different pediatric cardiac conditions.
Summary:
- The study analyzed outcomes for 94 heart valve replacements in 93 children under 14.
- Best results were observed in older children with severe rheumatic valve disorders.
- Infants with valvular malformations showed the poorest outcomes.
Impact:
- Informs surgical decision-making for pediatric valvular heart disease.
- Highlights the need for tailored treatment strategies based on patient age and diagnosis.
- Contributes to understanding long-term results of pediatric cardiac surgery.
Abstract:
The results of 20 medico-surgical teams were combined to give a total of 93 patients aged less than 14 years, with a total of 94 replacement valves. The intra-operative and subsequent mortality rate, the complications and the results have been analysed. The best results are found amongst the severe rheumatic valve disorders in older children, while the worst are amongst the valvular malformations in the infant.