J.Jpn. Surg. Soc.. 99(2): 90-95, 1998

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Feature topic

REOPENATION FOR PEDIATRIC VALVULAR DISEASES

Grown-up children (GUCH) are one of the major concerns in the field of cardiac surgery in children with valvular diseases. In particular, an artificial valve of adequate size is sometimes difficult to insert without annular enlargement. In cases with complex anomalies such as an univentricular atrioventricular connection, the atrioventricular valve should be repaired without the use of an artificial valve as often as possible. However, those patients occasionally require valve replacement at the initial operation or redo. The specific anatomy of the atrioventricular conduction syntem should be taken into account during valve replacement or plasty, particularly during reoperation. In the setting of valve replacement in GUCH, the Ross operation or homograft is better than the Konno operation or artificial valve replacement.

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