Korean J Thorac Cardiovasc Surg.  2018 Apr;51(2):149-152. 10.5090/kjtcs.2018.51.2.149.

Mitral Valve Replacement with a Pulmonary Autograft in an Infant

Affiliations
  • 1Division of Pediatric Cardiac Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. tjyun@amc.seoul.kr

Abstract

A 76-day-old infant weighing 3.4 kg was referred for surgical intervention for severe mitral valve stenoinsufficiency caused by leaflet fibrosis and calcification. He had experienced a cerebral infarction in the left middle cerebral artery territory, which was deemed attributable to an embolism of a calcified particle from the dysmorphic mitral valve. Because mitral valve replacement using a prosthetic valve was not feasible in this small baby, mitral valve replacement with a pulmonary autograft was performed. After a brief period of extracorporeal membrane oxygenation (ECMO) support, he was weaned from ECMO and was discharged home without further cardiovascular complications.

Keyword

Pulmonary autograft; Mitral valve replacement; Ross II operation

MeSH Terms

Autografts*
Cerebral Infarction
Embolism
Extracorporeal Membrane Oxygenation
Fibrosis
Humans
Infant*
Middle Cerebral Artery
Mitral Valve*
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