| Long-term follow-up results after balloon dilatation of pulmonic stenosis, aortic stenosis, and coarctation of the aorta: a review. | |
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MedLine Citation:
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PMID: 10505493 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Although immediate and intermediate-term results after balloon dilatation of congenital stenotic lesions of the heart in children are well studied, long-term results have not been documented. Therefore, we reviewed our experience along with the limited published data to address this issue. Late follow-up after balloon pulmonary and aortic valvuloplasty shows low-residual gradients, reintervention-free rates in the mid-80s for pulmonic and in the mid-50s for aortic stenosis, and an increase in degree and prevalence of similunar valve insufficiency. Balloon angioplasty of aortic coarctation results in low-residual gradients, residual hypertension in a minority of patients, low prevalence of aneurysms, and high rates of recurrence in the neonate and young infant. Overall, balloon dilatation is a useful technique in relieving congenital obstructive lesions of the heart in the pediatric patient, but continued study of (1) late pulmonary and aortic insufficiency after valvuloplasty, (2) recurrence and aneurysms after balloon angioplasty of coarctations and, (3) femoral artery compromise in lesions requiring transfemoral artery approach is warranted. |
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Authors:
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P S Rao |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Progress in cardiovascular diseases Volume: 42 ISSN: 0033-0620 ISO Abbreviation: Prog Cardiovasc Dis Publication Date: 1999 Jul-Aug |
Date Detail:
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Created Date: 1999-10-07 Completed Date: 1999-10-07 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 0376442 Medline TA: Prog Cardiovasc Dis Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 59-74 Citation Subset: AIM; IM |
Affiliation:
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Division of Pediatric Cardiology, Saint Louis University School of Medicine/Cardinal Glennon Children's Hospital, MO 63104-1095, USA. raops@SLU.EDU |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aortic Coarctation
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therapy*,
ultrasonography Aortic Valve Stenosis / therapy*, ultrasonography Balloon Dilatation* Echocardiography, Doppler Follow-Up Studies Humans Pulmonary Valve Stenosis / therapy*, ultrasonography Recurrence Severity of Illness Index |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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