Document Detail

Interventional catheterization in pediatric congenital and acquired heart disease.
MedLine Citation:
PMID:  2966559     Owner:  NLM     Status:  MEDLINE    
The present status of catheter-directed therapy in pediatric congenital and acquired heart disease is reviewed. Balloon pulmonary valvotomy, established as the procedure of choice for children and adults with isolated pulmonary stenosis, has now been extended to neonates with critical pulmonary stenosis. Balloon mitral and aortic valvotomy are being performed for congenital and acquired stenoses, although indications and optimal techniques remain to be established. Balloon angioplasty of coarctation effectively relieves obstruction in native and post-operative aortic arch stenoses, but remains controversial due to late aneurysm formation. Balloon angioplasty of branch pulmonary artery hypoplasia and stenosis, despite a relatively low success rate and significant complications, remains the procedure of choice due to lack of better therapeutic options. Transcatheter closure of congenital and acquired vessels and defects is being performed with increasing frequency. Embolization of aortopulmonary collaterals and shunts using Gianturco coils is safe and effective in selected patients. Although Rash-kind umbrellas are most commonly used for closure of a patent ductus arteriosus, their use, especially in closing intracardiac defects, remains investigational.
S B Perry; J F Keane; J E Lock
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  The American journal of cardiology     Volume:  61     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1988 May 
Date Detail:
Created Date:  1988-06-07     Completed Date:  1988-06-07     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  109G-117G     Citation Subset:  AIM; IM    
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
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MeSH Terms
Angioplasty, Balloon*
Balloon Dilatation*
Embolization, Therapeutic*
Heart Catheterization*
Heart Defects, Congenital / therapy*
Heart Diseases / therapy*
Infant, Newborn
Grant Support
5 F32 HL07309-02 BL-2/HL/NHLBI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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