Key result
This commentary highlights the challenges and numerous failures in adapting adult transcatheter prosthetic valves for use as expandable pediatric heart valves.
Highlights the ongoing challenges and need for durable, expandable pediatric heart valves that can grow with the child.
Congenital heart surgeons unfortunately still find the need to adapt adult prosthetic valves to fit pediatric applications. The manuscript by Griffiths and colleagues1 highlights the harsh reality that the search for a durable pediatric prosthesis will be fraught with numerous failures. The hypothesis underlying this case series was reasonable—valves designed for transcatheter implantation may function as expandable valves for pediatric applications. After all, experience with a stented bovine jugular vein graft in the mitral or tricuspid position had previously shown promise in this regard.
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Sitaram M. Emani (2020) conducted an editorial in Pediatric heart valve replacement. Transcatheter valves as expandable pediatric valves was evaluated. This commentary highlights the challenges and numerous failures in adapting adult transcatheter prosthetic valves for use as expandable pediatric heart valves.
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