Aortic valve replacement in pediatric patients

Authors: Shatalov K.V., Abdurazakov M.A., Arnautova I.V.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

UDC: 616.126.52-053.2-089.844
DOI: https://doi.org/10.24022/1810-0694-2021-22-5-515-529

Cite as: Shatalov K.V., Abdurazakov M.A., Arnautova I.V. Aortic valve replacement in pediatric patients. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2021; 22 (5): 515–29 (in Russ.). DOI: 10.24022/1810-0694-2021-22-5-515-529

Received / Accepted: 31.07.2020 / 03.09.2020

Keywords: congenital aortic valve disease aortic valve prosthesis Ross procedure mechanical valve prosthesis biological valve prosthesis

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Abstract

Severe congenital and acquired aortic valve pathology in child often needs surgical intervention. Method and time of surgery depends on type of aortic valve pathology, clinical presentation, and patient’s condition. In some circumstances operative treatment is necessary in first days of life. Aortic valve interventions include various techniques such as percutaneous balloon valvuloplasty, open valvuloplasty and complex aortic valve repair, that is an attractive method, but yet not always possible. If aortic valve repair is not feasible valve prosthesis is indicated. Currently several valve substitutes are available. There is pulmonary autograft (Ross procedure), mechanical valve prosthesis, biological xeno- and homograft. Each of them has their own advantages and disadvantages. Current review analyzed 36 articles regarding aortic valve replacement. Among them 28 regarding Ross procedure published since 2010 (n = 2236), 6 toward mechanical valve replacement, published since 2005 (n = 434) and 2 articles about biological valve prosthesis published 2009, 2013 (n = 101). The articles were selected by the following criterions: Russian or English language, minimum number of 30 patient and age younger 18 years. PubMed and Elibrary were searched.

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About the authors

Konstantin V. Shatalov, Dr. Med. Sci., Professor, Chief of Department; ORCID
Magomed A. Abdurazakov, Resident Physician; ORCID
Irina V. Arnautova, Dr. Med. Sci., Chief Scientist of Department Emergency Surgery of Congenital Heart Disease; ORCID

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Chief Editor

Elena Z. Golukhova, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery

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