Mitral Valve Repair in Pediatric Patients with Dilated Cardiomyopathy and Mitral Insufficiency: Single-Center Experience and Results
Objective: Idiopathic dilated cardiomyopathy (DCM) is a serious disease causing mitral regurgitation and contraction defects of the myocardium. Through mitral valve (MV) repair surgery, the clinical status of patients can be improved. Methods: Pediatric patients with DCM and mitral insufficiency wh...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2024-10-01
|
| Series: | Gazi Medical Journal |
| Subjects: | |
| Online Access: | https://gazimedj.com/articles/mitral-valve-repair-in-pediatric-patients-with-dilated-cardiomyopathy-and-mitral-insufficiency-single-center-experience-and-results/doi/gmj.2024.4076 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841526849273856000 |
|---|---|
| author | Mustafa Yılmaz Başak Soran Türkcan Ata Niyazi Ecevit İbrahim Ece Hazım Alper Gürsu Atakan Atalay |
| author_facet | Mustafa Yılmaz Başak Soran Türkcan Ata Niyazi Ecevit İbrahim Ece Hazım Alper Gürsu Atakan Atalay |
| author_sort | Mustafa Yılmaz |
| collection | DOAJ |
| description | Objective: Idiopathic dilated cardiomyopathy (DCM) is a serious disease causing mitral regurgitation and contraction defects of the myocardium. Through mitral valve (MV) repair surgery, the clinical status of patients can be improved.
Methods: Pediatric patients with DCM and mitral insufficiency who underwent mitral repair procedures between 2019 and 2023 were retrospectively investigated. The patients’ demographic characteristics, preoperative and postoperative clinical conditions, and echocardiographic findings were compared. The techniques used in patient operations were examined. Similarly, data regarding the postoperative intensive care unit processes and mortality data of the patients were recorded.
Results: Mitral repair was performed in 3 patients during the study period. The mean age of the patients was 4.66 months (±3.05) and body weight was 5.25 kg (±0.25). In the preoperative period, left ventricular ejection fraction decreased slightly in all patients [mean: 43.3% standard deviation (SD): ±2.8]. Although the preoperative and postoperative values of left ventricular end-diastolic diameter (LVEDd) and LVEDd Z-scores were above normal, respectively, they showed a decreasing trend after the operation. Although the mitral annulus diameters decreased slightly after the operation in all three patients, they remained high (mean: 17.6 mm SD: ±1.5). A significant decrease in MV insufficiency was observed in postoperative follow-ups after discharge (1st-2nd degree). Wooler annuloplasty and posterior valve pericardial patch augmentation were applied as the primary approach in all patients. The patients did not develop additional morbidities, and no mortality was observed during hospitalization.
Conclusion: Successful surgical interventions to prevent mitral regurgitation in pediatric patients with DCM and mitral regurgitation, may improve the clinical status of these patients. |
| format | Article |
| id | doaj-art-fd246e2da7604e8398f3ca502c5d5b8a |
| institution | Kabale University |
| issn | 2147-2092 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Gazi Medical Journal |
| spelling | doaj-art-fd246e2da7604e8398f3ca502c5d5b8a2025-01-16T10:39:16ZengGalenos Publishing HouseGazi Medical Journal2147-20922024-10-0135436937510.12996/gmj.2024.4076Mitral Valve Repair in Pediatric Patients with Dilated Cardiomyopathy and Mitral Insufficiency: Single-Center Experience and ResultsMustafa Yılmaz0https://orcid.org/0000-0002-3212-2673Başak Soran Türkcan1https://orcid.org/0000-0002-0694-5211Ata Niyazi Ecevit2https://orcid.org/0000-0002-8820-9305İbrahim Ece3https://orcid.org/0000-0002-3657-2209Hazım Alper Gürsu4https://orcid.org/0000-0002-0707-2678Atakan Atalay5https://orcid.org/0000-0002-2527-2665Clinic of of Pediatric Cardiovascular Surgery, Ankara Bilkent City Hospital, Ankara, TürkiyeClinic of of Pediatric Cardiovascular Surgery, Ankara Bilkent City Hospital, Ankara, TürkiyeClinic of of Pediatric Cardiovascular Surgery, Ankara Bilkent City Hospital, Ankara, TürkiyeClinic of Pediatric Cardiology, Ankara Bilkent City Hospital, Ankara, TürkiyeClinic of Pediatric Cardiology, Ankara Bilkent City Hospital, Ankara, TürkiyeClinic of of Pediatric Cardiovascular Surgery, Ankara Bilkent City Hospital, Ankara, TürkiyeObjective: Idiopathic dilated cardiomyopathy (DCM) is a serious disease causing mitral regurgitation and contraction defects of the myocardium. Through mitral valve (MV) repair surgery, the clinical status of patients can be improved. Methods: Pediatric patients with DCM and mitral insufficiency who underwent mitral repair procedures between 2019 and 2023 were retrospectively investigated. The patients’ demographic characteristics, preoperative and postoperative clinical conditions, and echocardiographic findings were compared. The techniques used in patient operations were examined. Similarly, data regarding the postoperative intensive care unit processes and mortality data of the patients were recorded. Results: Mitral repair was performed in 3 patients during the study period. The mean age of the patients was 4.66 months (±3.05) and body weight was 5.25 kg (±0.25). In the preoperative period, left ventricular ejection fraction decreased slightly in all patients [mean: 43.3% standard deviation (SD): ±2.8]. Although the preoperative and postoperative values of left ventricular end-diastolic diameter (LVEDd) and LVEDd Z-scores were above normal, respectively, they showed a decreasing trend after the operation. Although the mitral annulus diameters decreased slightly after the operation in all three patients, they remained high (mean: 17.6 mm SD: ±1.5). A significant decrease in MV insufficiency was observed in postoperative follow-ups after discharge (1st-2nd degree). Wooler annuloplasty and posterior valve pericardial patch augmentation were applied as the primary approach in all patients. The patients did not develop additional morbidities, and no mortality was observed during hospitalization. Conclusion: Successful surgical interventions to prevent mitral regurgitation in pediatric patients with DCM and mitral regurgitation, may improve the clinical status of these patients.https://gazimedj.com/articles/mitral-valve-repair-in-pediatric-patients-with-dilated-cardiomyopathy-and-mitral-insufficiency-single-center-experience-and-results/doi/gmj.2024.4076cardiomyopathydilatedmitral valveinfantmitral valve annuloplastyheart failure |
| spellingShingle | Mustafa Yılmaz Başak Soran Türkcan Ata Niyazi Ecevit İbrahim Ece Hazım Alper Gürsu Atakan Atalay Mitral Valve Repair in Pediatric Patients with Dilated Cardiomyopathy and Mitral Insufficiency: Single-Center Experience and Results Gazi Medical Journal cardiomyopathy dilated mitral valve infant mitral valve annuloplasty heart failure |
| title | Mitral Valve Repair in Pediatric Patients with Dilated Cardiomyopathy and Mitral Insufficiency: Single-Center Experience and Results |
| title_full | Mitral Valve Repair in Pediatric Patients with Dilated Cardiomyopathy and Mitral Insufficiency: Single-Center Experience and Results |
| title_fullStr | Mitral Valve Repair in Pediatric Patients with Dilated Cardiomyopathy and Mitral Insufficiency: Single-Center Experience and Results |
| title_full_unstemmed | Mitral Valve Repair in Pediatric Patients with Dilated Cardiomyopathy and Mitral Insufficiency: Single-Center Experience and Results |
| title_short | Mitral Valve Repair in Pediatric Patients with Dilated Cardiomyopathy and Mitral Insufficiency: Single-Center Experience and Results |
| title_sort | mitral valve repair in pediatric patients with dilated cardiomyopathy and mitral insufficiency single center experience and results |
| topic | cardiomyopathy dilated mitral valve infant mitral valve annuloplasty heart failure |
| url | https://gazimedj.com/articles/mitral-valve-repair-in-pediatric-patients-with-dilated-cardiomyopathy-and-mitral-insufficiency-single-center-experience-and-results/doi/gmj.2024.4076 |
| work_keys_str_mv | AT mustafayılmaz mitralvalverepairinpediatricpatientswithdilatedcardiomyopathyandmitralinsufficiencysinglecenterexperienceandresults AT basaksoranturkcan mitralvalverepairinpediatricpatientswithdilatedcardiomyopathyandmitralinsufficiencysinglecenterexperienceandresults AT ataniyaziecevit mitralvalverepairinpediatricpatientswithdilatedcardiomyopathyandmitralinsufficiencysinglecenterexperienceandresults AT ibrahimece mitralvalverepairinpediatricpatientswithdilatedcardiomyopathyandmitralinsufficiencysinglecenterexperienceandresults AT hazımalpergursu mitralvalverepairinpediatricpatientswithdilatedcardiomyopathyandmitralinsufficiencysinglecenterexperienceandresults AT atakanatalay mitralvalverepairinpediatricpatientswithdilatedcardiomyopathyandmitralinsufficiencysinglecenterexperienceandresults |