Paediatric Melody® mitral valve replacement in acute endocarditis - alternative surgical-hybrid technique
| Autor: | Mariusz Steffens, Ireneusz Haponiuk, Wiktor Szymanowicz, Maciej Chojnicki, Anna Romanowicz, Aneta Szofer-Sendrowska, Katarzyna Gierat-Haponiuk, Radoslaw Jaworski, Marta Paśko-Majewska, Konrad Paczkowski |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment 030204 cardiovascular system & hematology Balloon 03 medical and health sciences 0302 clinical medicine Mitral valve Internal medicine medicine Humans cardiovascular diseases Heart valve Bioprosthesis Heart Valve Prosthesis Implantation business.industry Pediatric Emergency Medicine Mitral valve replacement Mitral Valve Insufficiency Endocarditis Bacterial Surgery Anti-Bacterial Agents medicine.anatomical_structure 030228 respiratory system Acute Endocarditis Child Preschool Heart valve repair cardiovascular system Cardiology Female Stents Cardiology and Cardiovascular Medicine business Rare disease Paediatric population |
| Zdroj: | Kardiologia polska. 75(9) |
| ISSN: | 1897-4279 |
| Popis: | Background and aim: Acute endocarditis (AE) is still rare disease in the paediatric population; nevertheless, the children suffering from AE usually need heart valve repair or replacement in emergency settings. Methods: We present a case of emergency mitral valve replacement with the use of Melody balloon expandable stented bioprosthesis in a two-year-old patient with AE and subsequent mitral (bicuspid) valve incompetence after aggressive infective destruction with the symptoms of critical multi-organ failure. Results: The patient, with a history of rapid deterioration after two-week-long septicaemia in the course of AE, was operated urgently after initial antibiotic treatment because of huge vegetations into the mitral valve orifice. A Melody TVP 22 valve was expanded over a 16-mm TyShak balloon and implanted into a mitral position (Melody-MVR) with good result. Conclusions: Based on current knowledge concerning heart valve reconstructions and institutional experience, we conclude that infected mitral valve in children should be primarily repaired; nevertheless, the Melody valve could be reasonably considered as a mitral prosthesis in such conditions. |
| Databáze: | OpenAIRE |
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