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Max B. Mitchell
Gyaandeo S. Maharajh
Mark R. Bielefeld
David R. Clarke
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Ann Thorac Surg 2001;72:251-253
© 2001 The Society of Thoracic Surgeons

Case report

Emergency pulmonary autograft mitral valve replacement in a child

Max B. Mitchell, MDa, Gyaandeo S. Maharajh, MDa, Mark R. Bielefeld, MDa, Curt G. DeGroff, MDb, David R. Clarke, MDa a Division of Cardiothoracic Surgery, University of Colorado Health Sciences Center, Denver, Colorado, USA
b Division of Pediatric Cardiology, The Children’s Hospital, Denver, Colorado, USA

Accepted for publication May 24, 2000.

Address reprint requests to Dr Mitchell, Cardiac Care Center, The Children’s Hospital, 1056 19th Ave, B200, Denver, CO 80218
e-mail: mitchell.max{at}tchden.org

Mitral valve replacement in small children imposes significant clinical difficulties because of the relatively small mechanical prosthetic valves required and the need for lifelong anticoagulation therapy. A child weighing 10.4 kg presented with thrombosis of her 19-mm mechanical mitral prosthesis 4 weeks after implantation despite appropriate oral anticoagulation therapy. An emergency mitral valve replacement with a pulmonary autograft was successfully performed with encouraging short-term results.




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