Document Detail

Persistent pulmonary hypertension late after neonatal aortic valvotomy: a consequence of an expanded surgical cohort.
MedLine Citation:
PMID:  15253969     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Survival of neonates with critical aortic stenosis has improved over the past decade. Models based on morphological characteristics have been designed to help determine whether early survival is more likely after biventricular repair (surgical or balloon aortic valvotomy) or after a single ventricle staged palliative surgical strategy. However, late follow up data are lacking. OBJECTIVE: To report follow up data on survivors of neonatal aortic valvotomy who had persistent pulmonary hypertension caused by restriction to left ventricular filling. RESULTS: Of four medium term survivors of neonatal valvotomy for critical aortic stenosis who had persistent pulmonary hypertension, one died aged 4 years and the other three have severe limitation of effort tolerance. CONCLUSIONS: This previously unreported late complication of "successful" biventricular repair for neonatal critical aortic stenosis is an important consideration in determining the initial management.
M Burch; L Kaufman; N Archer; I Sullivan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Heart (British Cardiac Society)     Volume:  90     ISSN:  1468-201X     ISO Abbreviation:  Heart     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-07-15     Completed Date:  2004-09-23     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9602087     Medline TA:  Heart     Country:  England    
Other Details:
Languages:  eng     Pagination:  918-20     Citation Subset:  AIM; IM    
Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N 3JH, UK.
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MeSH Terms
Aortic Valve Stenosis / surgery*,  ultrasonography
Cohort Studies
Hypertension, Pulmonary / etiology*
Infant, Newborn
Postoperative Complications / etiology*,  ultrasonography
Ultrasonography, Prenatal

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