December 1964

Mitral Valve Prosthesis In Childhood

Author Affiliations

Francis A. Puyau, MD, Vanderbilt University, School of Medicine, Department of Pediatrics, Nashville, Tenn 37203.; Departments of pediatrics and surgery, Vanderbilt University.

Am J Dis Child. 1964;108(6):651-656. doi:10.1001/archpedi.1964.02090010653012

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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