"Splint" Mitral Valve Repair For Destructive Endocarditis In Children
WORLD JOURNAL FOR PEDIATRIC AND CONGENITAL HEART SURGERY(2019)
Abstract
Medical management of infective endocarditis in the pediatric population has an associated in-hospital mortality rate of up to 25%. In the past, infective endocarditis of the mitral valve was surgically managed with a valve replacement. Now, there is a shift toward repair. However, for complex lesions in pediatric patients, many institutions are still hesitant to perform a mitral valve repair. We describe the cases of three children with destructive mitral valve endocarditis and risk factors for higher perioperative mortality and morbidity who were successfully treated with a complex mitral valve repair with splint patch plasty of the posteromedial commissure.
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Key words
endocarditis, mitral valve repair, congenital heart surgery, CHD, valve lesions
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