Rheumatic mitral insufficiency in children. Course, prognosis and effect of mitral valve replacement

Leonard C. Harris, Quang X. Nghiem, Melvyn H. Schreiber

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

When the heart is involved as a result of rheumatic fever in children, mitral insufficiency is the most common lesion. Significant mitral stenosis, though it does occur, is not common in this age group. Twenty-eight children with rheumatic mitral insufficiency were divided into 3 groups of severity according to symptoms and heart size. Cardiac volume index and cardiothoracic ratio were compared as indexes of heart size in these patients. The course and prognosis were studied in each group by using cardiac volume index, cardiothoracic ratio, electrocardiographic, phonocardiographic, hemodynamic and clinical data as parameters of severity. In severe cases the course is one of progressive deterioration with development of atrial fibrillation or left atrial and right ventricular hypertension, or both. This course was illustrated by 8 fatal cases, death occurring between 11.5 and 15.5 years of age. In 2 patients the mitral valve was replaced by a Starr-Edwards valve. The patients are surviving and well, 12 and 17 months later. Guides are suggested for the selection of patients with mitral insufficiency for mitral valve surgery.

Original languageEnglish (US)
Pages (from-to)194-202
Number of pages9
JournalThe American Journal of Cardiology
Volume17
Issue number2
StatePublished - Feb 1966

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Mitral Valve Insufficiency
Mitral Valve
Cardiac Volume
Rheumatic Fever
Mitral Valve Stenosis
Atrial Fibrillation
Patient Selection
Age Groups
Hemodynamics
Hypertension

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Rheumatic mitral insufficiency in children. Course, prognosis and effect of mitral valve replacement. / Harris, Leonard C.; Nghiem, Quang X.; Schreiber, Melvyn H.

In: The American Journal of Cardiology, Vol. 17, No. 2, 02.1966, p. 194-202.

Research output: Contribution to journalArticle

Harris, Leonard C. ; Nghiem, Quang X. ; Schreiber, Melvyn H. / Rheumatic mitral insufficiency in children. Course, prognosis and effect of mitral valve replacement. In: The American Journal of Cardiology. 1966 ; Vol. 17, No. 2. pp. 194-202.
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