ST. JUDE MEDICAL® Valve Replacement in Infants and Children
Cardiac valve replacement with ST. JUDE MEDICAL® valves was undertaken in 27 infants and children ages 3 weeks to 17 years, with an average age of 9 years. Valve implant sites were 12 aortic, 14 mitral and 1 pulmonic. Six aortic valve replacements were with 19 mm aortic valves; only 1 required anulus enlargement. Due to the small size of the mitral anulus, a 19 mm aortic valve was used in 3 children. Follow-up was 100% for a mean of 2.3 years per patient. Seven children (5 mitral and 2 aortic) took aspirin for anticoagulation with 1 valve thrombosis and 2 deaths. The number of children over age 5 taking warfarin was 18 with 1 emboli, 1 hemorrhage, no valve thrombosis and 1 death. The number of patients event-free at 5 years was 76%.
KeywordsPneumonia Aspirin Dehydration Warfarin Cardiomyopathy
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