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PEDIATRIC MITRAL VALVE REPAIR WITH THE NOVEL ANNULOPLASTY RING: KALANGOS-BIORING®

Department of Cardiovascular Surgery, University Hospital of Geneva, 24, Rue Micheli-du-Crest 1211, Geneva, Switzerland, Tel: 41 22 372 76 63, Fax: 41 22 372 76 34, E-mail: mustafa.cikirikcioglu@hcuge.ch

The first 20% of the full text of this article appears below.

Dear Editor,

We read with great interest the article of Reddy and colleagues¹ and congratulate them for their valve repair oriented efforts in this very important and challenging patient group. They used three surgical techniques for pediatric mitral repair: (i) modified De Vega annuloplasty with pledgets on the annulus, (ii) commissural closure on both commissures and (iii) shortening of elongated chordae. They concluded that "valve repair can be performed without annuloplasty rings". Although we understand their concern, we do not agree with this conclusion.

Pediatric valve repair with or without a supra-annular annuloplasty ring is a double edged sword. On the one hand, supporting the repaired mitral valve with an annuloplasty ring is essential for a long-lasting result.² Although most authors agree on the necessity of the implantation of an annuloplasty ring for adult patients; pediatric . . . [Full Text of this Article]

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