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Outcomes of Mitral Regurgitation Associated With Large Ventricular Septal Defect and a Normal Mitral Valve Apparatus: Does Intact Atrial Septum Have an Impact?

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Abstract

The hemodynamics of isolated large ventricular septal defect with an intact atrial septum results in greater mitral valve (MV) annular dilation and an increased incidence of mitral regurgitation (MR). MR will resolve in most patients after surgical VSD closure alone without MV repair.

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References

  1. Delmo Walter EM, Siniawski H, Ovroutski S, Hetzer R (2010) Mitral valve growth after posterior annular stabilization with untreated autologous pericardial strip in children with mitral valve insufficiency. Ann Thorac Surg 5:1577–1585

    Article  Google Scholar 

  2. Hisatomi K, Isomura T, Sato T, Kosuga K, Ohishi K, Katoh H (1996) Mitral valve repair for mitral regurgitation with ventricular septal defect in children. Ann Thorac Surg 6:1773–1777

    Article  Google Scholar 

  3. Honjo O, Ishino K, Kawada M, Akagi T, Sano S (2006) Midterm outcome of mitral valve repair for congenital mitral regurgitation in infants and children. Interact Cardiovasc Thorac Surg 5:589–593

    Article  PubMed  Google Scholar 

  4. Kleinman CS, Tabibian M, Starc TJ, Hsu DT, Gersony WM (2007) Spontaneous regression of left ventricular dilation in children with restrictive ventricular septal defects. J Pediatr 6:583–586

    Google Scholar 

  5. Lai WW, Ko HH, Mertens LL, Cohen MS, Geva T (2009) The normal pediatric echocardiogram. In: Lai WW, Mertens LL, Cohen MS, Geva T (eds) Echocardiography in pediatric and congenital heart disease: From fetus to adult 2009. Oxford, Blackwell, pp 34–50

    Chapter  Google Scholar 

  6. Nielsen JC, Lytrivi ID, Ko HH, Yau J, Bhatla P, Parness IA et al (2010) The accuracy of echocardiographic assessment of left ventricular size in children by the 5/6 area x length (bullet) method. Echocardiography 6:691–695

    Article  Google Scholar 

  7. Papadimitriou JM, Hopkins BE, Taylor RR (1974) Regression of left ventricular dilation and hypertrophy after removal of volume overload. Morphological and ultrastructural study. Circ Res 1:127–135

    Google Scholar 

  8. Quarti A, D’alfonso A, Colaneri M, Baldinelli A, Ricciotti R, Bettuzzi MG et al (2009) Edge-to-edge technique: is it also useful in children? J Cardiovasc Med (Hagerstown) 11:848–851

    Article  Google Scholar 

  9. Sluysmans T, Colan SD (2005) Theoretical and empirical derivation of cardiovascular allometric relationships in children. J Appl Physiol 99(2):445–457

    Article  PubMed  Google Scholar 

  10. Walsh MA, Benson LN, Dipchand AI, Redington AN, Caldarone CA, Van Arsdell GS et al (2008) Surgical repair of the mitral valve in children with dilated cardiomyopathy and mitral regurgitation. Ann Thorac Surg 6:2085–2088

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Pediatrics, Mount Sinai Medical School, Mount Sinai Children’s Heart Center, One Gustave L. Levy Place, Box 1201, New York, NY, 10029, USA

    Deemah R. Mahadin, Shubhika Srivastava, Ira A. Parness, Barry A. Love, Rowan Walsh & Miwa K. Geiger

  2. Department of Cardiothoracic Surgery, Mount Sinai Medical School, Mount Sinai Children’s Heart Center, One Gustave L. Levy Place, Box 1201, New York, NY, 10029, USA

    Khanh Nguyen

  3. Department of Pediatrics and Radiology, Mount Sinai Medical School, Mount Sinai Children’s Heart Center, One Gustave L. Levy Place, Box 1201, New York, NY, 10029, USA

    James C. Nielsen

Authors
  1. Deemah R. Mahadin
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  2. Shubhika Srivastava
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  3. Ira A. Parness
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  4. Khanh Nguyen
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  5. Barry A. Love
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  6. Rowan Walsh
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  7. Miwa K. Geiger
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  8. James C. Nielsen
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Corresponding author

Correspondence to James C. Nielsen.

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Mahadin, D.R., Srivastava, S., Parness, I.A. et al. Outcomes of Mitral Regurgitation Associated With Large Ventricular Septal Defect and a Normal Mitral Valve Apparatus: Does Intact Atrial Septum Have an Impact?. Pediatr Cardiol 32, 1128–1131 (2011). https://doi.org/10.1007/s00246-011-9994-8

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  • DOI: https://doi.org/10.1007/s00246-011-9994-8

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