Document Detail


Percutaneous balloon valvuloplasty of pulmonary valve stenosis, dysplasia, and residual stenosis after surgical valvotomy for pulmonary atresia with intact ventricular septum: long-term results.
MedLine Citation:
PMID:  2317855     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Eight-six children (aged 20 days to 14 years, 20 under age 1 year) underwent 94 percutaneous balloon valvuloplasty for pulmonary valve stenosis. The patients were divided into three groups: typical pulmonary valve stenosis (71), pulmonary valve dysplasia (9), and residual stenosis after surgical valvotomy for pulmonary atresia with intact ventricular septum (PAIS) (6). Each of the three groups was divided into two subgroups. In the early cases, balloon catheters with diameter 10-20% exceeding pulmonary valve annulus were used and the drop of the gradient was 39.5%. In the later cases, balloon diameters 30-40% greater than the valve anulus or double balloons were used and a drop of 66.7% in the RV-PA pressure gradient was achieved. The dilation in patients with dysplastic valve and residual stenosis after surgical valvotomy for PAIS was less effective. Doppler echocardiography was the technique used to evaluate residual gradient. Six months to 4 years follow-up demonstrated a persistent decrease of the valve gradient.
Authors:
L Ballerini; C E Mullins; A Cifarelli; L Pasquini; G De Simone; S Giannico; P Guccione; R Di Donato; D Di Carlo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  19     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1990 Mar 
Date Detail:
Created Date:  1990-05-08     Completed Date:  1990-05-08     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  165-9     Citation Subset:  IM    
Affiliation:
Ospedale Bambino Gesú, Roma, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Balloon Dilatation* / adverse effects
Child
Child, Preschool
Echocardiography, Doppler
Follow-Up Studies
Hemodynamics
Humans
Infant
Infant, Newborn
Propranolol / therapeutic use
Pulmonary Artery / abnormalities
Pulmonary Valve / abnormalities*,  physiology,  surgery
Pulmonary Valve Stenosis / therapy*
Ventricular Function
Chemical
Reg. No./Substance:
525-66-6/Propranolol

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


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