Systematic approach to aortic valvuloplasty in children and young adults.

World J Pediatr Congenit Heart Surg

Division of Pediatric Cardiology and Cardiac Surgery, Hope Children's Hospital, Oak Lawn, IL, USA.

Published: October 2013

AI Article Synopsis

  • - Valve repair is now seen as a better option than replacement or the Ross procedure for kids and young adults, as it treats the entire aortic root rather than just specific valve issues
  • - This newer holistic approach shows promising long-term results and helps avoid the problems that come with using prosthetic valves in younger patients
  • - Advances in ideal patch materials and a deeper understanding of aortic root anatomy could further enhance the success rates of aortic valvuloplasty

Article Abstract

Valve repair in children and young adults is an attractive alternative to replacement or Ross procedure. In the past, the various valvuloplasty techniques have addressed isolated valve pathology. Recently, however, a holistic approach involving repair of all aortic root structures has evolved and promised to be an excellent alternative to valve replacement. It provides good long-term results and avoids all the drawback of prosthetic valve insertion in this age group. Development of ideal patch material needed for valve repair and better understanding of the anatomy and function of the aortic root may further improve the short- and long-term outcomes of aortic valvuloplasty.

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http://dx.doi.org/10.1177/2150135113504598DOI Listing

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