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Ann Thorac Surg 2006;81:2310-2312
© 2006 The Society of Thoracic Surgeons

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Case report

Anterior Mitral Leaflet Reconstruction With Pericardium in a 1.9 kg Infant With Endocarditis

Professor Eoin O'Malley National Centre for Cardiothoracic Surgery, Mater Misericordiae University Hospital, Dublin, Ireland

Accepted for publication July 20, 2005.

^_* Address correspondence to Dr Healy, Professor Eoin O'Malley National Centre for Cardiothoracic Surgery, Mater Misericordiae University Hospital, Eccles St, Dublin, 7 Ireland (Email: cardiothoracic{at}eircom.net).

A premature twin of 1.9 kg had mitral valve endocarditis develop during neonatal intensive care. Vegetation involving the entire anterior mitral valve leaflet was identified. Reconstruction was achieved by near complete resection of the anterior mitral valve leaflet and retention of the peripheral margin of coaptation including primary and secondary chordae. The body of the anterior mitral valve leaflet was reconstructed using fresh autologous pericardium, a technique not previously reported in an infant of this size. Three and a half years later, the child is well and has required no further intervention.

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