Percutaneous balloon valvuloplasty is now a widely accepted alternative to surgical valvotomy for patients with congenital aortic valve stenosis. Mitral valve anomalies are well known to coexist and influence the prognosis from all palliative procedures. Two cases of mitral valve injury occurring during balloon aortic valvuloplasty are reported, one an 11 month old boy, the other a 2 day old ba...

The current treatment practice for Tetralogy of Fallot (TOF) is to undertake complete surgical repair between 6–9 months age with excellent immediate and long-term results. In patients increased cyanosis or frequent cyanotic spells, younger as early 3 usually acceptable. Although neonatal TOF reported good survival from a few centres, post-operative morbidity significant, the hospital stay prol...

OCHSNER, J.L., COOLEY, D.A., MCNAMARA, D.G. & KILNE, A. (1962) Surgical treatment of cardiovascular anomalies in 300 infants younger than one year of age. J. thorac. Surg. 43, 182. Ross, D.N. (1964) Homotransplantation of the aortic valve in the subcoronary position. J. thorac. cardiov'asc. Surg. 47, 713. Ross, D.N. (1966) International Medical Tribune of Great Britain, 30th June. STARR, A. (19...

Background-Percutaneous balloon mitral valvotomy (BMV) has been accepted as an alternative to surgical mitral commissurotomy in the treatment of patients with symptomatic rheumatic mitral stenosis. Despite the worldwide use of the BMV technique, no studies have been hitherto designed to assess the outcome of the patients undergoing BMV in Iran. The present study reports the outcome of 3138 BMV ...

OBJECTIVES Although the majority of infants with severe left ventricular outflow tract obstruction (LVOTO) can be managed with balloon or surgical aortic valvotomy, a more complex biventricular repair may be required in a subset of infants with multi-level obstruction, failure of or complication to prior intervention. In the presence of normal left ventricle size and inflow, the Ross procedure ...

Fetal echocardiography has yet to have an impact on the treatment of congenital heart disease. Critical aortic valve stenosis was diagnosed by echocardiography before birth in a 35 week gestation fetus. The risks to the fetus and mother associated with prolonged rupture of membranes prompted their transport to a hospital with cardiac surgical and high-risk perinatal facilities. Prenatal and pos...

Balloon valvuloplasty became the treatment of choice for valvular pulmonary stenosis following its first description in 1982 by Kan et al, and has almost replaced surgical pulmonary valvotomy in the present day. It is a safe and effective method for children for relief of right ventricular obstruction. The results of the procedure are excellent, without significant complications. This report de...

OBJECTIVE To compare the clinical characteristics, haemodynamic findings, and symptomatic outcome in four age groups of patients in the UK undergoing percutaneous mitral balloon valvotomy. DESIGN A review of patients with mitral stenosis treated by balloon dilatation. SETTING Western General Hospital, Edinburgh, a cardiac referral centre. RESULTS Of 405 patients who had mitral balloon val...

We have studied the case records of 468 patients who underwent mitral valvotomy, 363 female and 105 male, to discover the incidence and site of systemic embolism before, at, and after operation, and the relation of embolism to cardiac rhythm and to the presence of clot in the left atrium at operation. Two hundred and seventy-two patients were operated upon in the Southampton Chest Hospital by t...

To determine the rate of mitral restenosis and mitral regurgitation increase 1 year after mitral valvotomy using the Inoue balloon catheter, 66 consecutive patients with severe, pliable mitral stenosis had their mitral valve area (MVA) calculated by two-dimensional echocardiography (2DE) and Doppler before, immediately after balloon valvotomy, and at 1-year follow-up. Color Doppler studies were...