The most appropriate management of aortic stenosis in children remains controversial. Both balloon and surgical valvotomy are firmly established as effective initial treatments with encouraging survival rates even in the troublesome neonatal group. Improved early results are based rather on the better understanding of the limits of a biventricular repair than on the method of treatment. Valvotomy of any kind is a palliative procedure and reintervention remains frequent. Direct surgical intervention, where exact splitting of fused commissures and shaving off of obstructing nodules can produce a better valve with maximum valve orifice without causing regurgitation, might offer superior longer-lasting results in comparison with blind ballooning.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1510/mmcts.2006.002311 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Mid-term outcomes of double-balloon technique for balloon aortic valvotomy: Experience from a tertiary care center in India.
Ann Pediatr Cardiol
November 2024
Department of Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Article Synopsis
- The study investigates the double-balloon technique's effectiveness in reducing aortic regurgitation (AR) after balloon aortic valvotomy (BAV) in children, with a focus on short- and mid-term outcomes.
- Out of 50 patients (average age 6.5 years), 34% had prior AR, and after the procedure, there was a significant decrease in peak-to-peak gradient and only 20% experienced trivial AR post-BAV, while none had severe AR.
- The technique was found to be safe, with no deaths or emergency surgeries required, suggesting it could be a promising alternative for larger patients, although further long-term studies are needed.
Staged biventricular repair in a premature neonate with critical aortic stenosis, severe mitral regurgitation, and fetal hydrops: a case report.
Gen Thorac Cardiovasc Surg Cases
April 2024
Department of Cardiovascular Surgery, Osaka Women's and Children's Hospital, Izumi, Osaka, Japan.
Article Synopsis
- The surgical management of critical aortic stenosis and associated heart conditions in neonates poses a complex challenge regarding the recovery of left ventricular function post-surgery.
- In a described case, a premature neonate with critical aortic stenosis and severe mitral regurgitation underwent a series of surgeries, including pulmonary artery banding and aortic valvuloplasty, to stabilize heart function.
- Ultimately, the staged biventricular repair led to a successful outcome, with the patient showing stable health six years after the operations.
Third sternotomy with modified Bentall/Konno procedure for recurrent multilevel left ventricular outflow tract obstruction in a 15-year-old.
Multimed Man Cardiothorac Surg
September 2024
Maria Fareri Children's Hospital, Westchester Medical Center, Valhalla, NY, USA.
This is a 15-year-old, 73.5 kg male who was born with congenital aortic valve stenosis. He underwent a transcatheter balloon aortic valvuloplasty in the neonatal period, followed by an open aortic valvotomy at 2 months of age.
View Article and Find Full Text PDFLongitudinal valvotomy of anterior leaflet for endoscopic transmitral myectomy for hypertrophic obstructive cardiomyopathy.
Multimed Man Cardiothorac Surg
August 2024
Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan.
Article Synopsis
- Transmitral myectomy for hypertrophic obstructive cardiomyopathy can be performed through minimally invasive approaches, providing an alternative to traditional surgery methods.
- A new technique involves a longitudinal incision in the midline of the anterior mitral leaflet, allowing for septal myectomy while maintaining easier surgical access.
- This method simplifies the procedure by avoiding the need for detaching the anterior leaflet and eliminates the use of patch materials, which can compromise the durability of the leaflets.
Closed Mitral Valvotomy: Celebrating 100 Years of Surgical History.
Tex Heart Inst J
May 2023
Cardiothoracic Department, University Hospital, Udine, Italy.
The year 2023 marks the 100th anniversary of the first successful valvotomy for mitral valve stenosis by Elliott C. Cutler in 1923. Closed-chest mitral valve commissurotomy developed further before being replaced by an open procedure after the advent of the heart-lung machine.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!