The Management of Valvular Heart Disease in Children

Folger, Gordon M.
June 1984
Angiology;Jun1984, Vol. 35 Issue 6, p341
Academic Journal
The child with significant valvular heart disease may present in any single instance both the most difficult of management decisions or a surprisingly simple one. Thus, if a direct surgical approach on the valve is feasible, the problems may very well be quite simple and straightforward; conversely, if valve replacement is indicated such may not be the case. We have recently reported our experience with one type of valvular heart condition, congenital aortic stenosis, in respect to determination of surgical approach based upon the ability to predict the orifice area and valvular anatomy.1,2 This report reviews our current experience with this technique. As well, the experience concerning the approach to each of the valvular conditions will also be reviewed with emphasis in respect to the left heart valves and particularly their long term postoperative management.


Related Articles

  • Aortic stenosis in the background of a subaortic membrane and tunnel-like ventricular outflow tract septal hypertrophy. Arnáiz-García, María Elena; González-Santos, Jose María; Dalmau-Sorlí, María José; López-Rodríguez, Javier; Bueno-Codoñer, María; Arribas-Jiménez, Antonio // Archivos de Cardiología de México;ene-mar2014, Vol. 84 Issue 1, p59 

    No abstract available.

  • A New Option for the Treatment of Aortic Stenosis: Percutaneous Aortic Valve Replacement. Lauck, Sandra; Mackay, Martha; Galte, Carol; Wilson, Margot // Critical Care Nurse;Jun2008, Vol. 28 Issue 3, p40 

    The article presents information about percutaneous heart valve (PHV) replacement for patients with aortic stenosis. It is noted that aortic stenosis is the most common valvular heart disease. Aortic stenosis patients undergo diagnostic testing before PHV implantation. After the surgery,...

  • Decreased pre-surgical CD34+/CD144+ cell number in patients undergoing coronary artery bypass grafting compared to coronary artery disease-free valvular patients. Redondo, Santiago; González-Rocafort, Álvaro; Navarro-Dorado, Jorge; Ramajo, Marta; Hristov, Mihail; Gordillo-Moscoso, Antonio; Reguillo, Fernando; Carnero, Manuel; Martinez-Gonzalez, Jose; Rodrí guez, Enrique; Weber, Christian; Tejerina, Teresa // Journal of Cardiothoracic Surgery;2012, Vol. 7 Issue 1, p1 

    Background: Cardiovascular disease has been linked to endothelial progenitor cell (EPC) depletion and functional impairment in atherosclerosis and aortic stenosis. EPCs may play a pivotal role in vascular grafting. However, the EPC depletion in coronary artery bypass grafting (CABG) patients has...

  • Surgery for severe aortic stenosis with low transvalvular gradient and poor left ventricular function -- a single centre experience and review of the literature. Borowski, ,2Andreas; Ghodsizad, Ali; Vchivkov, Ilja; Gams, Emmeran // Journal of Cardiothoracic Surgery;2007, Vol. 2, p9 

    Background: A retrospective comparative study was designed to determine whether the transvalvular gradient has a predictive value in the assessment of operative outcome in patients with severe aortic stenosis and poor left ventricular function. Methods: From a surgical database, a series of 30...

  • Advances in Cardiac Surgery: Valve Repair. Wiegand, Debra Lynn-McHale // Critical Care Nurse;Apr2003, Vol. 23 Issue 2, p72 

    Presents updates on cardiac surgery for valvular heart diseases in the U.S. as of April 2003. Classification of valvular heart diseases (VHD); Information on the epidemiology of VHD; Anatomical description of mitral and aortic valves.

  • Cardiac surgery in Wessex. Monro, J.L.; Ross, J.K.; Manners, J.M.; Edwards, J.C.; Lewis, B.; Hyde, I.; Ogilvie, B.C.; Keeton, B.R.; Conway, N.; Johnson, A.M. // British Medical Journal (Clinical Research Edition);1/29/1983, Vol. 286 Issue 6362, p361 

    Focuses on the cardiac surgery in Wessex, England. Prevalence of operations for valve disease; Percentage of mortality for aortic valve replacement; Rate of percentage for mitral valve replacement.

  • Calcific aortic stenosis: same old story? Cowell, S. Joanna; Newby, David E.; Boon, Nicholas A.; Elder, Andrew T. // Age & Ageing;Nov2004, Vol. 33 Issue 6, p538 

    Calcific aortic stenosis is the commonest adult valvular heart condition seen in the western world. Its prevalence is continuing to rise, with predominance in older patients who are frequently undergoing successful aortic valve replacement. This review discusses the natural history of calcific...

  • Transcatheter aortic valve implantation in end-stage renal disease. Hamilton, Patrick; Coverdale, Arthur; Edwards, Colin; Ormiston, John; Stewart, Jim; Webster, Mark; de Zoysa, Janak // Nephrology Dialysis Transplantation;Jun2012, Vol. 5 Issue 3, p247 

    Valvular heart disease is common in patients with end-stage renal disease and, if symptomatic, may lead to valve replacement surgery. However, some patients with renal failure are deemed unsuitable for cardiac surgery, and in those patients who do undergo surgery, there is a significantly...

  • The PARTNER Trial: A New Paradigm for Treating Valvular Heart Disease. Vinall, Maria // MD Conference Express;Dec2011, p30 

    The article discusses the Placement of AoRTic TraNscathetER Valve (PARTNER) Trial regarding the use of transcatheter aortic valve implantation (TAVI) for treating valvular heart disease. It notes that the patients in the trial were randomized to either transfemoral TAVI or standard therapy. The...

  • Non-bacterial thrombotic endocarditis. Asopa, Sanjay; Patel, Anish; Khan, Omar A.; Sharma, Rajan; Ohri, Sunil K. // European Journal of Cardio-Thoracic Surgery;Nov2007, Vol. 32 Issue 5, p696 

    Summary: Non-bacterial thrombotic endocarditis (NBTE) is a disease characterised by the presence of vegetations on cardiac valves, which consist of fibrin and platelet aggregates and devoid of inflammation or bacteria. NBTE has increasingly been recognised as a condition associated with numerous...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics