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Mitral Valve Prosthesis In Childhood

Am J Dis Child. 1964;108(6):651-656. doi:10.1001/archpedi.1964.02090010653012.
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Congenital mitral insufficiency is a rare but grave form of cardiac disease which may occur in various pathological forms.1-3 It is most frequently encountered as part of a more complex malformation as with ostium primum atrial defect or with a persistent common atrioventricular canal. One of the most unusual forms of congenital mitral insufficiency is that encountered with so-called functionally totally corrected transposition.

Recently, at Vanderbilt Medical Center, we had the opportunity to study and to treat surgically by the use of mitral valve prosthesis a child with "mitral" insufficiency associated with corrected transposition but without intracardiac defects that cause shunts.

Report of a Case  The child was first admitted to Vanderbilt University Hospital as an infant of 5 months in congestive heart failure. The patient was a small underdeveloped female infant in acute respiratory distress. A blowing apical systolic murmur, a short mid-diastolic murmur, a gallop rhythm, and


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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