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Submitral aneurysm in children
Author(s) -
Manuel Valdano,
SousaUva Miguel,
Miguel Gade,
Magalhães Manuel Pedro,
Pedro Albino,
Júnior António Pedro Filipe,
Morais Humberto
Publication year - 2016
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12789
Subject(s) - medicine , aneurysm , surgery , presentation (obstetrics) , mitral regurgitation , heart failure , mitral valve , mitral valve regurgitation , cardiology
BACKGROUND We report a surgical series of submitral aneurysm in children. METHODS Between March 2011 and December 2015, eight consecutive patients less than 18 years old with submitral aneurysm underwent surgical correction. RESULTS Six patients were female, the mean age was 7 ± 3.8 years old, and mean weight was 21.4 kg. Six patients were in NYHA functional class III or IV. Six patients underwent repair via a transatrial approach, another with a transatrial combined with transaneurysmal approach, and another with a transventricular approach. There were no in‐hospital deaths but one 30‐day mortality. One patient required reoperation. Two patients required mitral valve replacement. At discharge, one patient had severe and another had moderate mitral regurgitation. The mean follow‐up time was 26.4 months and five patients were alive. No reintervention was required. CONCLUSIONS Submitral aneurysm is not restricted to adults. Heart failure is the commonest clinical presentation in the pediatric age. The transatrial approach is feasible, safe, and associated with good short‐term results. The mitral valve can be preserved in the majority of cases.