"Splint" Mitral Valve Repair for Destructive Endocarditis in Children. Issue 1 (January 2019)

• Record Type: Journal Article
• Authors: Gritti, Michael; Ferris, Anne; Shah, Amee; Bacha, Emile; Kalfa, David
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 10:Issue 1(2019)
• Page Start: 121
• Page End: 124
• Publication Date: 2019-01
• Subjects: endocarditis -- mitral valve repair -- congenital heart surgery -- CHD -- valve lesions; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135117751914
• Languages: English
• ISSNs: 2150-1351

Abstract

Medical management of infective endocarditis in the pediatric population has an associated in-hospital mortality rate of up to 25%. In the past, infective endocarditis of the mitral valve was surgically managed with a valve replacement. Now, there is a shift toward repair. However, for complex lesions in pediatric patients, many institutions are still hesitant to perform a mitral valve repair. We describe the cases of three children with destructive mitral valve endocarditis and risk factors for higher perioperative mortality and morbidity who were successfully treated with a complex mitral valve repair with "splint" patch plasty of the posteromedial commissure.