| Anterograde balloon valvuloplasty for the treatment of neonatal critical valvar aortic stenosis. | |
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MedLine Citation:
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PMID: 12124964 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report our experience with anterograde balloon valvuloplasty in 17 neonates treated between November 1996 and June 2001 for critical aortic stenosis. Patients with hypoplastic left heart syndrome were excluded. Anterograde balloon valvoplasty of the aortic valve was possible in all 17 patients. The mean peak systolic gradient prior to cardiac catheterization was 73 mm Hg (range, 30-117 mm Hg) and decreased to 37 mm Hg (range, 21-60 mm Hg) after the dilation. Aortic regurgitation after balloon valvoplasty was absent or mild in 14/17 patients, moderate in 2 patients, and severe in 1 patient. There was no mortality or echocardiographic evidence for aortic cusp perforation or mitral regurgitation associated with the procedure. Redilation was necessary in 3/17 patients. Two patients are awaiting elective Ross operation. One patient with endocardial fibroelastosis died at 11 months of age. Anterograde balloon valvoplasty can be safely and effectively performed to palliate neonates with critical aortic valve stenosis. |
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Authors:
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Matthias Peuster; Christoph Fink; Stefan Schoof; Christian Von Schnakenburg; Gerd Hausdorf |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 56 ISSN: 1522-1946 ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2002 Aug |
Date Detail:
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Created Date: 2002-07-18 Completed Date: 2002-09-23 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
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Languages: eng Pagination: 516-20; discussion 521 Citation Subset: IM |
Copyright Information:
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Copyright 2002 Wiley-Liss, Inc. |
Affiliation:
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Department of Pediatric Cardiology and Pediatric Intensive Care, Georg-August University, Göttingen, Germany. mpeuste@gwdg.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aortic Valve Stenosis
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therapy* Balloon Dilatation* / methods Echocardiography, Doppler Follow-Up Studies Humans Infant, Newborn Time Factors |
| Comments/Corrections | |
Comment In:
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Catheter Cardiovasc Interv. 2003 Jun;59(2):291
[PMID:
12772261
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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