| Balloon dilatation of the aortic valve in the fetus: a report of two cases. | |
| | |
MedLine Citation:
|
PMID: 2039669 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Because they had irreversible damage to the left ventricular myocardium none of 12 patients with critical aortic stenosis diagnosed prenatally survived after postnatal treatment. This experience prompted three attempts at intrauterine balloon dilatation of the aortic valve in two fetuses with this condition. On each attempt the balloon catheter was successfully delivered to the left ventricle. In the first fetus the aortic valve was not crossed and the fetus died the next day. In the second fetus the balloon was correctly positioned across the aortic valve and inflated in the valve ring. After delivery, a further balloon angioplasty was performed; this relieved the stenosis but the patient died five weeks later from persisting left ventricular dysfunction related to endocardial fibroelastosis. Balloon angioplasty is feasible in fetal life but the prognosis depends on the ability of the relief of stenosis to limit, prevent, or allow regression of left ventricular damage before delivery. |
| | |
Authors:
|
D Maxwell; L Allan; M J Tynan |
Related Documents
:
|
1728229 - Sheathless insertion of the percutaneous intraaortic balloon pump: an alternate method. 3159939 - Management of congenital stenosis of a branch pulmonary artery with balloon dilation an... 7632559 - Preoperative control of a ruptured anastomotic femoral "pseudoaneurysm" by balloon cath... 10728369 - Reduction in the response to coronary and iliac artery injury with photodynamic therapy... 1606609 - Rotational ablation of coronary artery lesions using single, large burrs. 8960579 - Optimal burr and adjunctive balloon sizing reduces the need for target artery revascula... 18180529 - Successful management of an unruptured mycotic coronary aneurysm. 9294839 - Pulmonary embolism after thrombolysis of hemodialysis grafts. 9548329 - Leiomyosarcoma of the inferior vena cava. resection and reconstruction of the renal vei... |
Publication Detail:
|
Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: British heart journal Volume: 65 ISSN: 0007-0769 ISO Abbreviation: Br Heart J Publication Date: 1991 May |
Date Detail:
|
Created Date: 1991-07-08 Completed Date: 1991-07-08 Revised Date: 2009-11-18 |
Medline Journal Info:
|
Nlm Unique ID: 0370634 Medline TA: Br Heart J Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 256-8 Citation Subset: AIM; IM |
Affiliation:
|
Department of Fetal Medicine, Guy's Hospital, London. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aortic Valve / pathology Aortic Valve Stenosis / pathology, therapy*, ultrasonography Balloon Dilatation / methods* Endocardial Fibroelastosis / complications Female Fetal Diseases / pathology, therapy*, ultrasonography Fetal Heart / pathology, ultrasonography Humans Pregnancy Ultrasonography, Prenatal / methods |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Oxygen free radicals and congestive heart failure.
Next Document: Non-invasive assessment of perioperative myocardial cell damage by circulating cardiac troponin T.