[Reoperation for pediatric valvular diseases].
Grown-up children (GUCH) are one of the major concerns in the field of cardiac surgery in children with valvular diseases. In particular, an artificial valve of adequate size is sometimes difficult to insert without annular enlargement. In cases with complex anomalies such as an univentricular atrioventricular connection, the atrioventricular valve should be repaired without the use of an artificial valve as often as possible. However, those patients occasionally require valve replacement at the initial operation or redo. The specific anatomy of the atrioventricular conduction system should be taken into account during valve replacement or plasty, particularly during reoperation. In the setting of valve replacement in GUCH, the Ross operation or homograft is better than the Konno operation or artificial valve replacement.
Kurosawa
H
H
Department of Cardiovascular Surgery Jikei University, Tokyo, Japan.
D001021:Aortic Valve; D002648:Child; D006349:Heart Valve Diseases / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008943:Mitral Valve; D012086:Reoperation; D014261:Tricuspid Valve