Mitral valve replacement in children: Balancing durability and risk with mechanical and bioprosthetic valves.
Joeri Van PuyveldeBart MeynsFilip RegaMarc GewilligBenedicte EyskensRuth HeyingBjorn CoolsThomas SalaetsPeter-William HellingsBart MeurisPublished in: Interdisciplinary cardiovascular and thoracic surgery (2024)
There is no difference in transplant-free survival after bioprosthetic and mechanical mitral valve replacement in children. The lifespan of bioprosthetic mitral valves remains limited in children because of structural valve failure due to calcification. After 15 years, 40% of mechanical valves were replaced, primarily because of patient-prosthesis mismatch related to somatic growth.