The follow-up study of mitral insufficiency valvuloplasty in children

VernacularTitle:小儿二尖瓣关闭不全行瓣膜成形术的随访研究
Author: Ming FAN ; Xuming MO ; Jun CHEN ; Jian SUN ; Wei PENG ; Jirong QI ; Kaihong WU
From: Chinese Journal of Thoracic and Cardiovascular Surgery 2021;37(1):5-9
CountryChina
Language:Chinese
Abstract: Objective:To analyze the early and middle term clinical effects of mitral valve repair in children with mitral insufficiency.Methods:From January 2012 to January 2019, a total of 202 cases of children with mitral insufficiency treated by mitral valve repair were selected from the department of cardiothoracic surgery of Nanjing Children's Hospital, patients with atrioventricular septal defect, single ventricle and ischemic mitral regurgitation were excluded. Echocardiography was used to compare the preoperative and postoperative left ventricular function and degree of regurgitation in children to evaluate the early and middle term efficacy of mitral valvuloplasty.Results:There were 5 cases of early death(5/202, 2.5%) and 3 cases of late death(3/202, 1.5%). The mean follow-up time was(19.49±17.48) months(1-68 months). Postoperative echocardiography showed that the left heart function and mitral regurgitation were significantly improved.Conclusion:Mitral valvuloplasty can significantly correct mitral insufficiency in children, and it has satisfactory mid-term efficacy and good clinical value.