No abstract

Objective: Mitral valve insufficiency must be treated by repair whenever as prossible as it provides better resultsespecially within the pediatric population in order to avoid valve replacement incovenients. The aim of this study is to describe mitral valve repair technique based on an anatomical and functional approach.Methods: During a 13 months period, eight children (age ranged from 2 and 12 years old 6.37 +\3.66) with mitral valve insufficiency underwent intermittent anterior and posterior annuloplasty associated with Alfieri's repair -performed by placing a stitch between the anterior and posterior leaflets in the point of maximal regurgitation thus creating a double orificial mitral valve.Results: There were no surgical deaths. All patients underwent postoperative echocardiography. Three patients showed mild insufficiency and five patients showed no insufficiency. The time in intensive care unit ranged from 2 to 4 days (2.5 + 0.75), and the time of stay in hospital ranged from 5 to 8 days (6.37 + 1.06).Conclusion: In spite of the little sample size, the proposed technique proved itself to be simple and effective in the treatment of single mitral valve insufficiency within the pediatric population. In addition, it also yielded satisfactory immediate results. Long-term follow-up is nevertheless necessary in order to evaluate long-term results.Descriptors: Heart defects,congenital. Child. Mitral valve. ResumoObjetivo: A insuficiência mitral com indicação cirúrgica na faixa etária pediátrica deve ser tratada por meio de plastia sempre que possível, evitando-se os inconvenientes da substituição valvar. O objetivo deste trabalho é propor técnica de plastia mitral baseada em abordagem funcional e anatômica.

No abstract

No abstract