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Keywords Prosthetic valve options for c...

Prosthetic valve options for children

https://read.qxmd.com/read/38276135/the-ross-procedure-imaging-outcomes-and-future-directions-in-aortic-valve-replacement
#1
REVIEW
Domenico Galzerano, Naji Kholaif, Bandar Al Amro, Mohammed Al Admawi, Abdalla Eltayeb, Amal Alshammari, Giovanni Di Salvo, Zohair Y Al-Halees
The Ross procedure is gaining recognition as a significant option for aortic valve replacement (AVR), and is particularly beneficial in specific patient groups. Although categorized as a class IIb recommendation in the 2020 American College of Cardiology (ACC)/American Heart Association (AHA), and the European Society of Cardiology (ESC) management guidelines on valvular heart disease, recent studies bolster its credibility. Research, including a propensity-matched study, underlines the Ross procedure's association with enhanced long-term survival and reduced adverse valve-related events compared to other AVR types...
January 22, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/33839245/recent-progress-toward-clinical-translation-of-tissue-engineered-heart-valves
#2
REVIEW
Bahram Mirani, Shouka Parvin Nejad, Craig A Simmons
Surgical replacement remains the primary option to treat the rapidly growing number of patients with severe valvular heart disease. Although current valve replacements-mechanical, bioprosthetic, and cryopreserved homograft valves-enhance survival and quality of life for many patients, the ideal prosthetic heart valve that is abundantly available, immunocompatible, and capable of growth, self-repair, and life-long performance has yet to be developed. These features are essential for pediatric patients with congenital defects, children and young adult patients with rheumatic fever, and active adult patients with valve disease...
July 2021: Canadian Journal of Cardiology
https://read.qxmd.com/read/33679059/melody-valve-to-replace-the-mitral-valve-in-small-children-lessons-learned
#3
JOURNAL ARTICLE
Vilius Dranseika, Rene Pretre, Oliver Kretschmar, Hitendu Dave
Objective: Infants requiring mitral valve replacement have few viable options. Recently, stented bovine jugular vein graft (Melody) has been surgically implanted in such cases. Herein, we report our experience, elaborating on evolution of implantation technique, pitfalls, as well as long-term outcome (including late dilatability). Methods: Seven Melody valves were implanted (2013-2019). The median patient age and weight were 6.7 (1.8-30.5) months and 5.8 (4.6-9...
January 2021: Annals of Pediatric Cardiology
https://read.qxmd.com/read/33642715/mitral-valve-repair-in-children-with-rheumatic-heart-disease
#4
JOURNAL ARTICLE
Srirup Chatterjee, Nikhil Bansal, Rajarshi Ghosh, Lakshmi Kumari Sankhyan, Sujoy Chatterjee, Santosh Pandey, Satyajit Bose
Purpose: Rheumatic heart disease is the most common acquired heart disease in children in developing countries. The heart valve lesions produce severe hemodynamic changes due to scarring of the valves over time. Around 15.6 million people are affected by rheumatic heart disease (RHD), and 230,000 die around the globe annually. Valve repair should be the primary goal, although it is technically challenging because of the fact that rheumatic process evolves making repair outcomes variable...
March 2021: Indian Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/30571200/surgical-atrioventricular-valve-replacement-with-melody-valve-in-infants-and-children
#5
MULTICENTER STUDY
Francesca R Pluchinotta, Breanna L Piekarski, Valentina Milani, Oliver Kretschmar, Phillip T Burch, Lale Hakami, David B Meyer, Frederic Jacques, Olivier Ghez, Matteo Trezzi, Adriano Carotti, Shakeel A Qureshi, Ina Michel-Behnke, James M Hammel, Paul Chai, David McMullan, Bret Mettler, Queralt Ferrer, Mario Carminati, Sitaram M Emani
Background Pediatric patients with atrioventricular valve disease have limited options for prosthetic valve replacement in sizes <15 mm. Based on successful experience with the stented bovine jugular vein graft (Melody valve) in the right ventricular outflow tract, the prosthesis has been modified for surgical valve replacement in pediatric patients with atrioventricular dysfunction with the intention of subsequent valve expansion in the catheterization laboratory as the child grows. Methods and Results A multicenter, retrospective cohort study was performed among patients who underwent atrioventricular valve replacement with Melody valve at 17 participating sites from North America and Europe, including 68 patients with either mitral (n=59) or tricuspid (n=9) replacement at a median age of 8 months (range, 3 days to 13 years)...
November 2018: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/29378443/thrombolysis-in-pregnancy-a-literature-review
#6
JOURNAL ARTICLE
Marina Sousa Gomes, Mariana Guimarães, Nuno Montenegro
BACKGROUND: Changes in the coagulation system during pregnancy and puerperium produce a physiological hypercoagulable state. These changes are thought to be the cause of the higher rates of deep vein thrombosis (DVT), pulmonary embolism (PE), stroke, and mechanical prosthetic valve thrombosis (PVT) during pregnancy. Thrombolysis can be a treatment option in this case. However, there are no available data from randomized controlled trials in pregnant patients and information about the security of thrombolytics in pregnancy is missing...
July 2019: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/28044989/surgical-mitral-valve-replacement-with-the-melody-valve-in-infants-and-children-the-italian-experience
#7
JOURNAL ARTICLE
Alessandro Frigiola, Francesca Romana Pluchinotta, Antonio Saracino, Alessandro Giamberti, Carmelo Arcidiacono, Luciane Piazza, Matteo Reali, Gianfranco Butera, Alessandro Varrica, Mario Carminati
AIMS: Paediatric patients with mitral valve (MV) disease have limited options for prosthetic MV replacement. Based on long experience with the stented bovine jugular vein graft (Melody valve) in the right ventricular outflow tract, we aimed to test the use of the Melody valve as a surgical implant in the mitral position in a small group of infants with congenital mitral disease. METHODS AND RESULTS: Eight patients, aged from 3 months to 6.2 years, with congenital MV dysplasia underwent Melody valve implantation in the mitral position between March 2014 and October 2015...
April 20, 2017: EuroIntervention
https://read.qxmd.com/read/27995570/hydrodynamic-assessment-of-aortic-valves-prepared-from-porcine-small-intestinal-submucosa
#8
JOURNAL ARTICLE
Sharan Ramaswamy, Makensley Lordeus, Omkar V Mankame, Lilliam Valdes-Cruz, Steven Bibevski, Sarah M Bell, Ivan Baez, Frank Scholl
Infants and children born with severe cardiac valve lesions have no effective long term treatment options since currently available tissue or mechanical prosthetic valves have sizing limitations and no avenue to accommodate the growth of the pediatric patient. Tissue engineered heart valves (TEHVs) which could provide for growth, self-repair, infection resistance, and long-term replacement could be an ideal solution. Porcine small intestinal submucosa (PSIS) has recently emerged as a potentially attractive bioscaffold for TEHVs...
March 2017: Cardiovascular Engineering and Technology
https://read.qxmd.com/read/26993362/novel-materials-and-devices-in-the-transcatheter-management-of-congenital-heart-diseases-the-future-comes-slowly-part-3
#9
REVIEW
Aleksander Sizarov, Younes Boudjemline
Correction of malformations affecting the right ventricular outflow tract often results in residual abnormalities that require valve implantation at a later stage to prevent right ventricular deterioration. In the paediatric population, the pathology of congenital valve stenosis or insufficiency is often complex, options for surgical repair are limited, and valve replacement remains the only-albeit unattractive-alternative. Prosthetic heart valve implantation can be performed either surgically or, nowadays, percutaneously...
May 2016: Archives of Cardiovascular Diseases
https://read.qxmd.com/read/26118461/impact-of-ross-operation-on-outcome-in-young-female-adult-patients-wanting-to-have-children
#10
JOURNAL ARTICLE
Kazuki Morimoto, Takaya Hoashi, Koji Kagisaki, Jun Yoshimatsu, Isao Shiraishi, Hajime Ichikawa, Junjiro Kobayashi, Takeshi Nakatani, Toshikatsu Yagihara, Soichiro Kitamura, Tomoyuki Fujita
BACKGROUND: The most appropriate valve substitute at aortic valve replacement (AVR) for young female adult patients wanting to have children is unclear. METHODS AND RESULTS: Between 1992 and 2013, 12 consecutive female patients aged >18 (median, 22.5 years; range, 18-34 years) underwent Ross operation (Ross group). Between 1984 and 2013, 9 consecutive female patients aged >18 (median, 30 years; range, 22-39 years) underwent AVR with bioprosthesis (bioprosthesis group)...
2015: Circulation Journal: Official Journal of the Japanese Circulation Society
https://read.qxmd.com/read/25818568/early-outcomes-of-pulmonary-valve-replacement-with-the-mitroflow-bovine-pericardial-bioprosthesis
#11
JOURNAL ARTICLE
Sarah A Schubert, John L Myers, Allen R Kunselman, Joseph B Clark
BACKGROUND: Bovine pericardial valves are often used for pulmonary valve replacement (PVR) in patients with previously repaired congenital heart disease. Attention has recently focused on the safety of the Mitroflow (Sorin Group USA, Arvada, CO) bovine pericardial valve after a national alert describing several cases of sudden valve failure in young patients. In response, we reviewed our experience using the Mitroflow bioprosthesis for PVR. METHODS: Medical records were reviewed for all patients who underwent PVR using a Mitroflow valve at our center (2008-2013)...
May 2015: Annals of Thoracic Surgery
https://read.qxmd.com/read/23796593/a-new-paradigm-for-obtaining-marketing-approval-for-pediatric-sized-prosthetic-heart-valves
#12
JOURNAL ARTICLE
Ajit P Yoganathan, Mark Fogel, Susan Gamble, Michael Morton, Paul Schmidt, Jeff Secunda, Sara Vidmar, Pedro Del Nido
OBJECTIVE: Congenital heart valve disease is one of the most common abnormalities in children. There are limited technological solutions available for treating children with congenital heart valve diseases. The aim of this study is to provide the details of the consensus reached in terms of pediatric definitions, design approach, in vitro testing, and clinical trials, which may be used as guidance for developing prosthetic heart valves for the pediatric indication. METHODS: In stark contrast to the various designs of adult-sized replacement valves available in the market, there are no Food and Drug Administration (FDA)-approved prosthetic heart valves available for use in the pediatric population...
October 2013: Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/18377487/perimount-bovine-pericardial-valve-to-restore-pulmonary-valve-competence-late-after-right-ventricular-outflow-tract-repair
#13
JOURNAL ARTICLE
David L S Morales, Brandi E Braud, Daniel J DiBardino, Kathleen E Carberry, E Dean McKenzie, Jeffrey S Heinle, Charles D Fraser
OBJECTIVE: No ideal option exists for restoring pulmonary valve competence late after repair of the congenitally abnormal right ventricular outflow tract (RVOT). This has driven a continued search for new alternatives. Texas Children's Hospital has recently used the Carpentier-Edwards Perimount RSR Pericardial Aortic Prosthesis (Edwards Lifesciences, Irvine, Calif, USA) for this indication and reports the initial experience. DESIGN: Retrospective chart review. SETTING: Academically affiliated tertiary-care pediatric hospital...
March 2007: Congenital Heart Disease
https://read.qxmd.com/read/16998523/-cardiac-and-vascular-homograft-valves-transplant
#14
COMPARATIVE STUDY
J M Herreros, S Mastrobuoni, M Ubilla, G Rábago, M Lorente Ruiz, J Rifón, M Hernández
The advances in the manipulation of human tissues, the development of cryobiology, paediatric cardiac surgery, the impossibility of obtaining an ideal prosthetic cardiac valve and the surgical treatment of cardiovascular infections have revived interest in the use of homografts. The donors of these homografts can be: a) Live donors: aortic and pulmonary valve of the recipient of a heart transplant; b) Multiorgan donors with a diagnosis of death according to neurological criteria, whose heart is rejected for heart transplant; c) Cadaver donors with asystolia of less than 8 hours...
2006: Anales del Sistema Sanitario de Navarra
https://read.qxmd.com/read/15792175/mechanical-aortic-valve-replacement-long-term-outcomes-in-children
#15
JOURNAL ARTICLE
Ganesh Shanmugam, Kenneth MacArthur, James Pollock
BACKGROUND AND AIM OF THE STUDY: Early and late outcomes following mechanical aortic valve replacement (AVR) in children were analyzed. METHODS: Between January 1980 and December 2003, 55 patients underwent mechanical AVR at the authors' institution. Of these patients, 12 had aortic regurgitation (AR), 31 had aortic stenosis (AS), and 12 had mixed disease. Preoperatively, 25 patients (45.5%) were in NYHA classes III and IV. Among patients, 22 had a previous valvotomy and 19 had associated cardiac defects...
March 2005: Journal of Heart Valve Disease
https://read.qxmd.com/read/12118742/konno-aortoventriculoplasty-in-children-and-adolescents-from-prosthetic-valves-to-the-ross-operation
#16
JOURNAL ARTICLE
Eldad Erez, Kirk R Kanter, Vincent K H Tam, Willis H Williams
BACKGROUND: In children with complex multilevel left ventricular outflow tract obstruction (LVOTO), the Konno aortoventriculoplasty is used to enlarge the aortic root and increase the size of the aortic valve implanted. We present our experience with the evolution of this surgical approach from prosthetic valves to the Ross operation. METHODS: Between March 1982 and July 2000, 60 patients (36 males and 24 females) had 72 Konno aortoventriculoplasties (prosthetic valve and Konno group [57 patients; redo, 12] and Ross-Konno group [15 patients])...
July 2002: Annals of Thoracic Surgery
https://read.qxmd.com/read/11486217/aortic-insufficiency-indications-for-surgery-in-children
#17
JOURNAL ARTICLE
Bradley S. Marino, Nancy D. Bridges, Stephen M. Paridon
The goals of surgery in children with chronic aortic insufficiency are to prevent irreversible left ventricular dysfunction and to provide for long-term survival. In the past, surgical options included placement of a mechanical valve, a porcine bioprosthesis, or an aortic valve homograft. Complications from these options include thromboembolism, prosthetic valve endocarditis, limited durability, and lack of growth potential. The increasing utilization of the Ross procedure to treat chronic aortic insufficiency has led to new interest in the question of when to operate on a regurgitant aortic valve...
1998: Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
https://read.qxmd.com/read/11404132/the-konno-aortoventriculoplasty-for-repeat-aortic-valve-replacement
#18
JOURNAL ARTICLE
E Erez, V K Tam, W H Williams, K R Kanter
OBJECTIVE: To evaluate the outcome of aortic root augmentation by the Konno-aortoventriculoplasty technique as part of reoperative aortic valve replacement. METHODS: Since 1983, 15 patients, 12 males and three females, had repeat aortic valve replacement (AVR) with concomitant Konno aortoventriculoplasty. Age ranged from 1.2 to 18 years (mean 12.5 years). The underlying anatomic diagnoses were valve and subvalvar aortic stenosis in 11, truncal valve insufficiency in one, endocarditis in one, Shone's complex in one and severe aortic insufficiency associated with a ventricular septal defect in one patient...
June 2001: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/10865025/thrombolysis-of-prosthetic-tricuspid-valve-thrombosis-with-human-recombinant-tissue-plasminogen-activator-in-an-adolescent
#19
JOURNAL ARTICLE
D Bolz, T Kühne, R Jivraj, J Hammer
Prosthetic heart valve thrombosis is associated with a high mortality. Traditionally, thrombectomy or valve replacement is performed. Thrombolysis offers a promising alternative to surgery. Usually, streptokinase and urokinase are the preferred agents for thrombolysis; however, human recombinant tissue plasminogen activator (rt-PA) is increasingly used. Thrombosis of prosthetic valves in children and adolescents is rare and experience of thrombolysis for obstructed valves is limited. We report the successful lysis of a thrombosed prosthetic tricuspid valve in an adolescent using rt-PA...
July 2000: Pediatric Cardiology
https://read.qxmd.com/read/10804931/the-ross-operation-initial-israeli-experience
#20
JOURNAL ARTICLE
E Sharoni, J Katz, O Dagan, A Lorber, R Hirsch, L C Blieden, B A Vidne, E Birk
BACKGROUND: The need for aortic valve replacement in children and young adults poses a special problem to cardiologists and surgeons. Replacing the sick aortic valve with the patient's pulmonary valve as described by Ross has proven to be a good option in this special age group. OBJECTIVE: To review our initial experience in order to assess the short-term results. METHODS: From January 1996 to June 1999, 40 patients (age 8 months to 41 years) underwent aortic valve replacement with pulmonary autograft...
February 2000: Israel Medical Association Journal: IMAJ
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