Reoperation (Valve Replacement) after Mitral Valve Plasty for Congenital Mitral Valve Regurgitation in an Early Infant

Pediatric Cardiology and Cardiac Surgery
Vol.25 No.5 2009 (687-690)

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Yoichiro Ishii,¹⁾ Kentaro Ikeda,¹⁾ Tohru Kobayashi,¹⁾ Tomio Kobayashi,¹⁾ Masayuki Fujisaki,²⁾ Yoshiro Doi,²⁾ and Takashi Miyamoto²⁾

Departments of ¹⁾Cardiology and ²⁾Cardiovascular Surgery, Gunma Children’s Medical Center, Gunma, Japan

Abstract

This is a case report of successful valve replacement reoperation after mitral valve plasty (MVP) for congenital mitral valve regurgitation (MR) in an early infant. A 3-month-old boy was transferred to our hospital because of tachycardia and tachypnea. He had tachycardia and tachypnea. On admission, the chest X-ray film revealed moderate cardiomegaly and lung congestion. Transthoracic echocardiography demonstrated severe MR and moderate tricuspid valve regurgitation. He underwent MVP (Alfieri’s procedure) because it was difficult to control congenital heart failure by medication. Unfortunately, MR worsened again 3 days after MVP. He underwent mitral valve replacement reoperation. After reoperation, he received hemodialysis for 5 days and was successfully weaned from mechanical ventilation on the 6th postoperative day. He left our intensive care unit on the 23rd postoperative day and had an uneventful postoperative course.