Rheumatic Valvular Disease in Children

  • Joseph B. Borman
  • Mervyn S. Gotsman

Table of contents

  1. Front Matter
    Pages I-IX
  2. S. T. Halfon, A. M. Davies
    Pages 1-13
  3. C. M. Oakley
    Pages 15-27
  4. V. J. Ferrans, W. C. Roberts
    Pages 28-58
  5. B. S. Lewis, M. S. Gotsman
    Pages 59-71
  6. J. T. Davidson, S. Cotev
    Pages 112-125
  7. A. T. S. Paul
    Pages 126-148
  8. J. B. Borman, A. Simcha
    Pages 160-171
  9. J. B. Borman, A. Simcha
    Pages 180-192
  10. Back Matter
    Pages 223-234

About these proceedings

Introduction

In the Middle Eastern states, in the developing countries of Southeast Asia and Africa with their vast populations, in the poverty-stricken Central and South American lands, and in other underprivileged parts of the world, rheumatic heart disease is a major problem with a high morbidity and mortality. In these areas the disease frequently attacks children, in whom the course is much more malignant than in adults. This re­ sults in severe pathologic changes in the cardiac valves from an early age. Stenosis of the mitral valve is one of the more common lesions, and closed mitral commissurotomy is often carried out in children. Furthermore, mitral insufficiency, aortic insufficiency, and tricuspid valve pathology may cause such life-threatening hemodynamic effects as to require valve replacement, usually electively, or even occaSionally, as an emergency. This differs from experience in the affluent sections of the population in the developed countries where severe rheumatic valvular pathology in children is uncommon, and sur­ gery for the advanced form of the disease is limited to adults. Recent progress in diagnostic methods, great advances in surgical skill, and the de­ velopment of improved valvular prostheses encourage the application of valvular sur­ gery - so successfully carried out in adults - to children. Such surgery is being under­ taken with increasing frequency, and the long-term results are encouraging. It was therefore considered important to collect the considerable but scattered information on the subject and to present it in monograph fOml.

Keywords

Children age anesthesia assessment childhood emergency heart management morbidity pathology population prevention reconstructive surgery rheumatism surgery

Editors and affiliations

  • Joseph B. Borman
    • 1
  • Mervyn S. Gotsman
    • 2
  1. 1.Department of Cardiothoracic SurgeryHadassah University Hospital and Hebrew University-Hadassah Medical SchoolJerusalemIsrael
  2. 2.Department of CardiologyHadassah University Hospital and Hebrew University-Hadassah Medical SchoolJerusalemIsrael

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-642-95371-2
  • Copyright Information Springer-Verlag Berlin Heidelberg 1980
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-540-10079-9
  • Online ISBN 978-3-642-95371-2
  • About this book