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This study reviews current practice in congenital valve repair and analyzes early outcomes. Ninety patients underwent repair from September 2020 to December 2024, using operative data and retrospective follow-up. Survival and freedom from reoperation were estimated with Kaplan-Meier methods, and Cox regression identified mortality risk factors.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/early-favourable-outcomes-of-valve-repair-in-congenital-heart-surgery/459119/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/early-favourable-outcomes-of-valve-repair-in-congenital-heart-surgery/459119.png","ImageObject",300,407,{"name":92,"@type":93},"dawugda","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the main objective of the study?","Question",{"text":112,"@type":113},"To review current practice of valve repair in congenital heart disease and characterize its scope, results, and limitations.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How many patients underwent valve repair, and what time period was studied?",{"text":117,"@type":113},"A total of 90 patients underwent valve repair between September 2020 and December 2024.",{"name":119,"@type":110,"acceptedAnswer":120},"What outcomes were reported at 12 months for semilunar and atrioventricular valve repairs?",{"text":121,"@type":113},"Estimated survival at 12 months was 95.2% for semilunar and 95% for atrioventricular valves, and estimated freedom from reoperation was 95.8% and 95.6%, respectively.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},459119,1790966886,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},3985747870947,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","Interdisciplinary CardioVascular and Thoracic Surgery 2025, 40(12), ivaf273 ORIGINAL ARTICLE  \n[https://doi.org/10.1093/icvts/ivaf273](https://doi.org/10.1093/icvts/ivaf273) Advance Access publication 26 November 2025  \nCite this article as: Aydin MI, Kisamori E, Haverty M, Mehta R, Tongut A, Desai M et al. Early Favourable Outcomes of Valve Repair in Congenital Heart Surgery. Interdiscip CardioVasc Thorac Surg 2025; doi:10.1093/icvts/ivaf273.  \nEarly Favourable Outcomes of Valve Repair in Congenital  \nHeart Surgery  \nMuhammed IkbalAydin 1; Eiri Kisamori2; Mitchell Haverty1; Rittal Mehta1; Aybala Tongut1; Manan Desai1;  \nGerard Martin3; Wayne Jay Franklin3; Yves d’Udekem􀀃 ,1  \n1 Department of Cardiovascular Surgery, Children’s National Hospital, Washington, DC, 20010, United States 2 Pediatric Cardiac Surgery, Columbia University Medical Center, New York, NY, 10032, United States 3 Department of Cardiology, Children’s National Hospital, Washington, DC, 20010, United States  \n􀀃 Corresponding author. Department of Cardiovascular Surgery, Children’s National Hospital, Washington, 111 Michigan Ave NW, 20010, DC, United States ([yves.dudekem@childrensnational.org](yves.dudekem@childrensnational.org)).  \nReceived: August 26, 2025; Revised: October 31, 2025; Accepted: November 5, 2025  \nGraphical abstract  \nAbstract  \nObjectives: Mechanical valve replacement is often used as the therapeutic option in valvular heart surgery in children. Evidence suggests that this should change to provide optimal long-term survival for this growing population. We reviewed our current practice in valve repair in congenital heart disease and analysed its outcomes.  \nMethods: A total of 90 patients (30 semilunar valve and 60 atrioventricular [AV] valve) underwent valve repair between September 2020 and December 2024. Operative data and follow-up information were gathered retrospectively. Kaplan-Meier calculations were used for survival and freedom from reoperation analysis. Cox regression analysis was used to assess risk factors for mortality (single ventricle  \nAuthor Contributions: M.I. Aydin and E. Kisamori contributed equally to this work.  \nCONGENITAL DISEASE  \n© The Author(s) 2025. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery.  \nThis is an Open Access article distributed under the terms of the Creative Commons Attribution License ([https://creativecommons.org/licenses/by/4.0/](https://creativecommons.org/licenses/by/4.0/)), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.  \n2 Interdisciplinary CardioVascular and Thoracic Surgery, 2025, Volume 40, Issue 12  \nphysiology, age and weight at time of surgery, bicuspid aortic valve, and complexity of repair). Complexity of repair was defined as the application of 3 or more repair techniques.  \nResults: Estimated survival at 12 months for semilunar and AV valve groups was 95.2% and 95%, respectively. Estimated freedom from reoperation at 12 months for repair of semilunar and AV valves was 95.8% and 95.6%, respectively. Single ventricle morphology (HR [hazard ratio], 5.2; 95% confidence interval [CI], 1.3-20.8; P ¼ .0198) and younger age at time of surgery (HR, 0.7; 95% CI, 0.6-0. 9; P ¼ .0223) were associated with increased risk of mortality.  \nConclusions: Valve repair in congenital heart disease provides reliable early outcomes in this complex population. The worst outcomes are expected in patients with single ventricle requiring surgery in early life.  \nKeywords: congenital valve repair; semilunar valve; atrioventricular valve.  \nINTRODUCTION  \nThe scope of valve repair in congenital cardiac surgery has evolved in the last 2 decades.1, 2 It was initially limited to primary congenital lesions of the mitral and tricuspid valve apparatus and limited to blade commissurotomy of aortic and pulmonary valve lesions. Mechanical valve replacement has been a cornerstone of our valv","cbCaidTReLXqbXog","https://ap.wps.com/l/cbCaidTReLXqbXog","pdf",917236,"English","# Abstract\n## Objectives\n## Methods\n## Results\n## Conclusions\n# Introduction\n# Methods","[{\"question\":\"What was the main objective of the study?\",\"answer\":\"To review current practice of valve repair in congenital heart disease and characterize its scope, results, and limitations.\"},{\"question\":\"How many patients underwent valve repair, and what time period was studied?\",\"answer\":\"A total of 90 patients underwent valve repair between September 2020 and December 2024.\"},{\"question\":\"What outcomes were reported at 12 months for semilunar and atrioventricular valve repairs?\",\"answer\":\"Estimated survival at 12 months was 95.2% for semilunar and 95% for atrioventricular valves, and estimated freedom from reoperation was 95.8% and 95.6%, respectively.\"}]","Early Favourable Outcomes of Valve Repair in Congenital Heart Surgery | PDF",1790755232,18]