[Congenital aortic valve stenosis. Current treatment].

Arch Cardiol Mex

Servicio de Cardiopatías Congénitas, Hospital de Cardiología, Centro Medico Nacional Siglo XXI, México, D.F.

Published: June 2007

AI Article Synopsis

  • Congenital aortic valve stenosis occurs in about 5 to 7% of heart malformations and is the most common left heart obstruction.
  • Recent advancements in treatment include fetal interventions for newborns and percutaneous aortic valve replacement for adults, along with improved techniques for valvuloplasty in children and adolescents.
  • The Ross procedure is preferred for treating young patients with a small aortic annulus, highlighting the need for updated knowledge on indications, timing, and outcomes of these methods.

Article Abstract

Congenital aortic valve stenosis is a common lesion, with an approximate incidence of 5 to 7% of all cardiac malformations and occupies the first place among left heart obstructions. In recent years, many modalities of treatment have been developed. Fetal interventions has evolved in one extreme of life, on the other hand, percutaneous aortic valve replacement is now available for aged adults. In children and adolescents, percutaneous aortic valve valvuloplasty is now more effective with new techniques. The Ross procedure is the first choice treatment in children and young adults with hipoplastic aortic annulus. Considerable medical information has evolved and expanded from these techniques. A review of the indications, optimal timing, and outcomes of these procedures is pertinent.

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