[Mechanical valve replacement in children with heart valve diseases].
OBJECTIVE
To determine the surgical point and technique of artificial mechanical valve replacement in children with heart valve diseases.


METHODS
From Jan. 1989 to Oct. 2005, 63 children under 15 years received mechanical cardiac valve replacement with cardiopulmonary bypass (CPB).


RESULTS
The valve replacement included aortic valve replacement in 20 children, mitral valve replacement in 37 children and combined aortic valve and mitral valve replacement in 6 children.


CONCLUSIONS
The operation mortality was 7.94%(5/63). The follow-up periods were from 4 months to 204 months. The late mortality was 10.34%(6/58). All the other children were in NYHA class I - II. The operation mortality of children with heart valve replacement is higher than that of adults, but it was very effective.
Huang
Ri-Mao
RM
Department of Cardiothorasic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China. rimaohuang@yahoo.com.cn
Luo
Wan-Jun
WJ
Chen
Sheng-Xi
SX
Jiang
Hai-He
HH
D000293:Adolescent; D001021:Aortic Valve / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006349:Heart Valve Diseases / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D016896:Treatment Outcome