Document Detail


Percutaneous balloon aortic valvuloplasty in the treatment of congenital valvular aortic stenosis in children.
MedLine Citation:
PMID:  11780401     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess the effect of the balloon valvuloplasty for for congenital valvular aortic stenosis (AS) in children. METHODS: A total of 27 (mean age 6.09 years) children with AS accepted the treatment of percutaneous balloon aortic valvuloplasty (PBAV). The ratios of balloon/valve were 0.95 +/- 0.08 for 19 cases of typical AS and 1.00 +/- 0.11 for 8 cases of hypoplastic AS. The patients were evaluated by the gradients across aortic valves in pre- and post-PBAV and by echocardiogram during the follow-up period. RESULTS: Fifteen of 19 (78.9%) cases of typical AS had a better outcome and the gradient of the remaining 4 cases (26.7%) had increased after follow-up (delta P > 50 mm Hg). Four of 8 (50.0%) cases of hypoplastic AS had satisfactory responses and the gradient of the remaining 3 cases (75.0%) rose. There was no moderate to severe aortic insufficiency (AI). CONCLUSION: The balloon aortic valvuloplasty provides safe and significant hemodynamic and clinical improvement in pediatric patients. The outcome of PBAV for typical AS is better than for hypoplastic AS.
Authors:
W Gao; A Zhou; R Wang; Z Yu; F Li; M Huang; J Yang
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chinese medical journal     Volume:  114     ISSN:  0366-6999     ISO Abbreviation:  Chin. Med. J.     Publication Date:  2001 May 
Date Detail:
Created Date:  2002-01-08     Completed Date:  2002-02-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7513795     Medline TA:  Chin Med J (Engl)     Country:  China    
Other Details:
Languages:  eng     Pagination:  453-5     Citation Subset:  IM    
Affiliation:
Department of Pediatric Cardiology, Shanghai Children's Medical Center, Shanghai 200127, China.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aortic Valve Stenosis / pathology,  physiopathology,  therapy*
Balloon Dilatation*
Child
Child, Preschool
Female
Follow-Up Studies
Hemodynamics
Humans
Male

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