a:2:{s:4:"TEXT";s:189:"Heart valve prosthesis correspondence/ non-correspondence to children’s physical development: new outlook at the problem and algorithms for solving it. Part 1. Mitral valve replacement";s:4:"TYPE";s:4:"HTML";}

Authors: Bokeria L. A., Podzolkov V. P., Makhachev O. A., Fadeev A. A., Narsiya B. E., Shatalov K. V., Bondarenko I. E., Khiriev T. Kh., Panova M. S., Melnikov A. P.

Keywords: heart valves mitral valve heart valve mechanical prostheses valve replacement non-correspondence between patient and prosthesis

Download

Abstract
References

Abstract

The article presents a new approach to assess correspondence/ non-correspondence of implanted heart valve mechanical prostheses (HVMP) to standard parameters in children with replaced valve. Retrospective study of correspondence/ non-correspondence included 102 patients after mitral valve replacement. Quantitative analysis of correspondence/ non-correspondence of HVMP to physical development of children was carried out using developed original protocol. The key criterion was Z-score showing the ratio between HVMP orifice (according to the technical certificate data provided by mechanical valves producers) and normal native valve diameter (according to the database for non-operated hearts). The results analysis demonstrated that implanted prosthesis 'size reserve' was observed in 28% patients after mitral valve replacement. The difference between HVMP landing and internal orifice diameter should be calculated preoperatively to improve prosthesis choice. The suggested protocol as well as criteria for choosing prosthesis make it possible to choose suitable HVMP size preoperatively and predict the risk of early prosthesis 'overgrowing'.

References

1. Бокерия, Л. А. Нормативные параметры предсердно-желудочковых клапанов по результатам морфометрических исследований / Л. А. Бокерия, О. А. Махачев, М. С. Панова, Т. Ю. Лосевская // Бюллетень НЦССХ им. А. Н. Бакулева РАМН. - 2005. - Т. 6, № 1. - С. 5-28.
2. Бокерия, Л. А. Первый опыт применения трехстворчатого протеза сердечного клапана «КорБит» у пациента с митральным пороком сердца и постоянной формой фибрилляции предсердий / Л. А. Бокерия, О. Л. Бокерия, А. А. Фадеев и др. // Анналы хирургии. - 2008. - № 2. - С. 25-31.
3. Бокерия, Л. А. Протокол для расчета количественных параметров при протезировании клапанов сердца / Л. А. Бокерия, О. А. Махачев, А. А. Фадеев и др. // Бюллетень НЦССХ им. А. Н. Бакулева РАМН. - 2007. - Т. 8, № 3. - С. 14.
4. Бокерия, Л. А. Способы расчета нормативных параметров клапанов сердца у детей (по результатам морфометрических исследований) / Л. А. Бокерия, О. А. Махачев, М. С. Панова, Т. Ю. Лосевская // Там же. - 2005. - Т. 6, № 1. - С. 53-65.
5. Бокерия, Л. А. Сравнительная оценка способов расчета нормативных параметров предсердно-желудочковых клапанов сердца у детей / Л. А. Бокерия, О. А. Махачев, М. С. Панова, Т. Ю. Филиппкина // Там же. - 2006. - Т. 7, № 3. - С. 218.
6. Caldarone, C. A. Long-Term Survival After Mitral Valve Replacement in Children Aged <5 Years: A Multi-Institutional Study / C. A. Caldarone, G. Raghuveer, C. B. Hills et al. // Circulation. - 2001. - Vol. 104. - P. I-143-147.
7. Fernandez, J. Predictive value of prosthetic valve area index for early and late clinical results after valve replacement with the St Jude medical valve prosthesis / J. Fernandez, C. Chen, G. W. Laub et al. // Ibid. - 1996. - Vol. 94 (Suppl. II). - P. 109-112.
8. Gunther, T. Mitral-valve replacement in children under 6 years of age / T. Gunther, D. Mazzitelli, C. Schreiber // Eur. J. Cardiothorac. Surg. - 2000. - Vol. 17. - P. 426-430.
9. Kojori, F. Outcomes of mitral valve replacement in children: A competing-risks analysis / F. Kojori, R. Chen, C. A. Caldarone et al. // J. Thorac. Cardiovasc. Surg. - 2004. - Vol. 128. - P. 703-709.
10. Magne, J. Impact of Prosthesis-Patient Mismatch on Survival After Mitral Valve Replacement / J. Magne, P. Mathieu // Circulation. - 2007. - Vol. 115. - P. 1417-1425.
11. Pibarot, P. Patient-prosthesis mismatch can be predicted at the time of operation / P. Pibarot, J. G. Dumesnil, P. C. Cartier et al. // Ann. Thorac. Surg. - 2001. - Vol. 71. - P. S265-S268.
12. Raghuveer, G. Predictors of prosthesis survival, growth, and functional status following mechanical mitral valve replacement in children aged <5 years, a multi-institutional study / G. Raghuveer, C. A. Caldarone, C. B. Hills et al. // Circulation. - 2003. - Vol. 108 (Suppl. 1). - P. 174-179.
13. Rowlatt, U. F. The quantitative anatomy of the normal childs heart / U. F. Rowlatt, J. A. Rimoldi, M. Lev // Pediatr. Clin. North Am. - 1963. - Vol. 10. - P. 499-504.
14. Scholz, D. G. Age-related chahges in normal human hearts during the first 10 decades of life/ Part I (Glowth): A quantitative anatomic study of 200 specimens from subjects from birth to 19 years old / D. G. Scholz, D. W. Kitzman, P. T. Hagen et al. // Mayo Clin. Proc. - 1988. - Vol. 63. - P. 126-136.
15. Schulz. D. М. Hearts in infants and children / D. М.Schulz, D. A. Giordano // Arch. Pathol. - 1962. - Vol. 74. - P. 464-471.
16. Van Doorn, C. Mitral valve replacement in children: mortality, morbidity, and haemodynamic status up to medium term follow up / C. van Doorn, R. Yates, V. Tsang et al. // Heart. - 2000. - Vol. 84. - P. 636-642.
17. Yazdanbakhsh, A. P. Small valve area index: its influence on early mortality after mitral valve replacement / A. P. Yazdanbakhsh, Van den Brink, E. Dekker // Eur. J. Cardiothorac. Surg. - 2000. - Vol. 17. - P. 222-227.

Chief Editor

Konstantin V. Shatalov
MD, PhD, DSc, Professor
Bakoulev National Medical Research Center for Cardiovascular Surgery

Sort by

Если вы заметили опечатку, выделите текст и нажмите alt+A