Key result
Surgical treatment in 8 children with acute rheumatic fever and refractory heart failure resulted in 2 deaths, while patients undergoing valve repair were in good condition at 6 to 27 months.
Why the study?
Does surgical treatment improve outcomes in pediatric patients with acute rheumatic fever and severe acute mitral insufficiency unresponsive to medical therapy?
Population
8 pediatric patients, age 5 to 13 years, in the acute phase of rheumatic fever with severe acute mitral…
Design
Case_series
Follow-up
6 to 27 months
Authors
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May support valve repair in select refractory pediatric cases; hypothesis-generating and should not yet change practice.
Case Report (n=8)
Does surgical treatment improve outcomes in pediatric patients with acute rheumatic fever and severe acute mitral insufficiency unresponsive to medical therapy?
Surgical intervention, particularly valve repair, can be successfully performed in pediatric patients with acute rheumatic fever and refractory heart failure, though mortality remains high for those presenting in cardiogenic shock.
Pomerantzeff et al. (1992) conducted a case report in Acute rheumatic fever with severe mitral insufficiency and heart failure (n=8). Surgical treatment (valvar replacement or repair) was evaluated on Survival and clinical condition. Surgical treatment in 8 children with acute rheumatic fever and refractory heart failure resulted in 2 deaths, while patients undergoing valve repair were in good condition at 6 to 27 months.
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