Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Mitral Valve Replacement with a Pulmonary Autograft in an Infant

  • Jeong, Yong Ho (Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Yun, Tae-Jin (Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2017.08.25
  • Accepted : 2017.10.12
  • Published : 2018.04.05
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Abstract

A 76-day-old infant weighing 3.4 kg was referred for surgical intervention for severe mitral valve stenoinsufficiency caused by leaflet fibrosis and calcification. He had ex perienced a cerebral infarction in the left middle cerebral artery territory, which was deemed attributable to an embolism of a calcified particle from the dysmorphic mitral valve. Because mitral valve replacement using a prosthetic valve was not feasible in this small baby, mitral valve replacement with a pulmonary autograft was performed. After a brief period of extracorporeal membrane oxygenation (ECMO) support, he was weaned from ECMO and was discharged home without further cardiovascular complications.

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References

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  1. Mitral valve replacement with a pulmonary autograft: long-term follow-up in an infant vol.28, pp.5, 2018, https://doi.org/10.1093/icvts/ivy322
  2. Don’t go breaking my heart valve: historical review of mitral valve replacement vol.17, pp.5, 2018, https://doi.org/10.2217/fca-2020-0136