[Congenital mitral insufficiency. Diagnosis, prognosis and treatment].
Between September 1973 and November 1993, 30 children with CMI underwent open-heart surgery. The mean age at operation was 6.63 years with a range of 8 months to 14 years. Twenty patients underwent reconstructive mitral valvuloplasty; 3 immediate failures and 1 case of stenosis of Carpentier's ring, occurring 7 years after the operation, were observed in this group. Among the 10 patients treated by mitral valve replacement, there were 4 deaths, including 3 from specific complications of the prosthesis. Conservative mitral surgery provides better results with far fewer complications that mechanical prostheses and must therefore always be attempted as the first-line procedure.
Ben Ameur
Y
Y
Service de Cardiologie Pédiatrique, Hôpital la Rabta, Tunis.
Ben Ameur
N
N
Drissa
H
H
Fehri
W
W
Fekih
M
M
Abid
F
F
D000293:Adolescent; D002648:Child; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D011379:Prognosis; D013997:Time Factors
L'insuffisance mitrale congénitale. Diagnostic, pronostic et traitement.