Balloon therapy of critical aortic stenosis in the neonate. The therapeutic conundrum resolved?
نویسنده
چکیده
In this issue of Circulation, Zeevi and his colleagues from the Children's Hospital in Boston examine critically the results of surgical or balloon dilation therapy applied to a few neonates with life-threatening aortic stenosis.' Of 16 consecutive neonates from 1978 through 1984 undergoing surgery, there were six early and two late deaths. From 1985 through 1988, balloon dilatation was applied to another 16 consecutive neonates with severe aortic stenosis, with three early and three
منابع مشابه
مقایسه نتایج درمانی بالون والوپلاستی و والوتومی جراحی در بیماران مبتلا به تنگی مادرزادی دریچه آئورت در پیگیری 6 ساله در بخش کودکان بیمارستان قلب شهید رجایی تهران
Background: Balloon valvuloplasty is a relatively new technique for relief of obstruction of aortic valve. The primary results of this procedure are similar to surgical valvotomy with fewer complications and mortality. Materials and methods: One hundred fifty-five patients with congenital aortic stenosis were enrolled in this study over a period of 6 years (1991-1997). Participants were all un...
متن کاملAntegrade balloon valvuloplasty for critical aortic stenosis in a premature neonate weighing 1100 g.
Experiences with invasive cardiac catheterization in low birth weight infants are few. In our clinic, we performed balloon aortic valvuloplasty by antegrade approach in a neonate weighing 1100 g with critical aortic stenosis, patent ductus arteriosus and atrial septal defect. The right femoral vein was accessed with a 4 Fr sheath, and a catheter was placed into the left ventricle from the atria...
متن کاملبررسی نتایج پیگیری یک ساله بالون والولوپلاستی تنگی مادرزادی دریچه آئورت در کودکان به مدت 10 سال در بیمارستان قلب شهید رجایی
Abstract Background: Balloon valvuloplasty uses for treatment of aortic stenosis from 20 years ago. Regarding loss of information about results of balloon valvuloplasty of hereditary aortic stenosis, this study was done to determine prognosis and complication of balloon valvuloplasty during last 10 years. Methods: This study was done on existing data of all children with hereditary aortic...
متن کاملNeonate aortic stenosis: importance of myocardial perfusion in prognosis.
OBJECTIVE To analyze our experience with percutaneous aortic balloon valvuloplasty in newborn infants with aortic stenosis, emphasizing the extraordinary importance of myocardial perfusion. METHODS Over a 10-year-period, 21 neonates underwent percutaneous aortic balloon valvuloplasty. Age ranged from 2 to 27 days, weight ranged from 2.2 to 4.1 kg and 19 were males. All patients presented with...
متن کاملAscending aortic approach for balloon aortic valvuloplasty with concomitant bilateral pulmonary artery banding in a very low-birth-weight neonate with critical aortic stenosis and poor left ventricular function.
An 1186-g infant was born at 27 weeks' gestation. Echocardiography showed critical aortic stenosis, a dilated left ventricle (left ventricular end-diastolic diameter, 16.9 mm), and poor left ventricular function (left ventricular ejection fraction, 8.5%). Due to duct-dependent systemic circulation, the patient underwent a hybrid intervention consisting of bilateral pulmonary artery banding (PAB...
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عنوان ژورنال:
- Circulation
دوره 80 4 شماره
صفحات -
تاریخ انتشار 1989