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Ann Thorac Surg 2001;72:907-909
© 2001 The Society of Thoracic Surgeons

Case report

Prosthetic mitral valve replacement after atrioventricular septal defect repair: a technique for small children

Makoto Ando, MDa, Charles D. Fraser, Jr, MDa

a Section of Congenital Heart Surgery, Texas Children’s Hospital, Baylor College of Medicine, Houston, Texas, USA

Accepted for publication September 14, 2000.

Address reprint requests to Dr Fraser, Section of Congenital Heart Surgery, Texas Children’s Hospital, 6621 Fannin, MC1-2285, Houston, TX 77030
e-mail: charlesf{at}bcm.tmc.edu

An 11-month-old girl was transferred for consideration of cardiac transplantation. She had previously undergone repair of complete atrioventricular septal defect at another institution. Her postoperative course was notable for severe mitral regurgitation, pulmonary hypertension, and heart failure. At reoperation, the left atrioventricular valve was considered irreparable with a very small (11 mm) annulus. Using a technique to enlarge the mitral annulus, a 17-mm prosthetic valve was placed. Her postoperative course was unremarkable and she is doing very well at 3 years follow-up.






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