2004, Number 3
Next >>
Gac Med Mex 2004; 140 (3)
Congenital Percutaneous Aortic Valvuloplasty in 70 Subjects with Congenital Aortic Stenosis. Mid-Term Results.
Alva C, Sánchez A, Jiménez S, David F, Ortegón J, Hernández M, Ledesma M
Language: Spanish
References: 22
Page: 269-272
PDF size: 39.89 Kb.
ABSTRACT
Objective:/7; To evaluate mid-term results with Percutaneous aortic valvulopasty (PAV). Material and Methods: Records of 70 patients treated with percutaneous aortic valvuloplasty with at least 6 months follow-up were reviewed. Results: The 70 patients with PAV aged 3 months to 36 years, mean 10.5 ± 10.6 years, 40) 63%) were male and 26 (37%)female. Initial systolic peak gradient decreased from 84 ± 20 to 31 ± 16 mmHg (p ‹ 0.05), while the reduction percentage ranged from 25 to 100%, mean 60 ± 22.
Balloon/aortic annulus index was 0.9 ± 0.17. Ten (14.1%)patients developed aortic insufficiency after PAV. Followup ranged from 6 to 168 months, mean ± 48 months. At end of follow-up, 21 patients (30%) were considered failed cases and 49 (70%) patients had a successful outcome.
Conclusions: This study showed a series with the longest follow-up in Latin America with PAV. New prospective and multicentric studies are needed in this region.
REFERENCES
Lababidi Z. Aortic balloon valvuloplasty. Am Heart J 1983;106:751-752.
Rocchini AP, Beekman RH, Shachar GB, Benson L, Schwartz D, Kan JS. Balloon Aortic valvuloplasty results and angioplasty of congenital anomalies registry. Am J Cardiol 1990;65:784-789.
O‘Connor BK, Bekman RH, Rocchini AP, Rosenthal A. Intermediate term effectiveness of balloon valvuloplasty for congenital aortic stenosis prospective follow -up study. Circulation 1991;84:732-738.
Shaddy RE, Boucek MM, Sturterant JE, Ruttenberg HD, Orsmand GS. Gradient reduction, aortic valve regurgitation and prolapse after balloon aortic valvuloplasty in 32 consecutive patients with congenital aortic stenosis J Am Coll Cardiol 1990;16:451-456.
Vogel M, Benson LN, Burrows P, Smallborn J, Freedom RM. Balloon dilatation of congenital aortic valve stenosis in infants and children: Short term and intermediate results. Br Heart J 1989;63:148-153.
Moore P, Egito E, Mowrey H, Perry SB, Lock JE, Keane JF. Midterm results of balloon dilatation of congenital aortic stenosis: Predictors of success. J Am Coll Cardiol 1996;27:1257-1268.
Galal O, Rao PS, Fadel Al-Fadley, Wilson AD. Follow-up results balloon aortic valvuloplasty in children with special reference the causes of late aortic insufficiency. Am Heart J 1996;133:418-427.
Egito ES, Moore P, O’Sullivan J, Colan S, Perry SB, Lock JE, Keane JF. Transvalvular balloon dilation for neonatal critical aortic stenosis: early and midterm results. J Am Coll Cardiol 1997;29:442-447.
Shim D, Lloyd TR, Beekman RH III. Usefulness of repeat balloon aortic valvuloplasty in children, Am J Cardiol 1997;79:1141-1143.
Brian MW. Independent predictors of immediate results of percutaneous balloon aortic valvulotomy in childhood. Am J Cardiol 1996;77:286-293.
Robinson BV, Brzezinska-Rajszys G, Weber HS, Ksiazy K, Fricker FJ, Fischer DR, Ettedgui JA. Balloon aortic valvuloplasty through a carotid cutdown in infants with severe aortic stenosis: results of the multi-centric registry. Cardiol Young 2000;10:225-232.
Dolan MS, Catello R, St Vrain JA, Agirre F, Labovitz AJ. Quantization of aortic regurgitation by Doppler echocardiography: a practical approach. Am Heart J 1995;129:1014-1020.
Wren C, Sullivan I, Bull C, Deanfield J. Percutaneous balloon dilation of aortic valve stenosis in neonates and infants. Br Heart J 1987;58:608-612.
Rao PS, Thapar MK, Wilson AD, Levy JM, Chopra PS. Intermediate term follow-up results of balloon aortic valvuloplasty in infants and children with special reference to causes of restenosis. Am J Cardiol 1989;64:1356-1360.
McCrindle BW, Brian W. Independent predictors of immediate results of percutaneous balloon aortic valvulotomy in childhood. Am J Cardiol 1996;77:286-293.
Justo RN, McCrindle B, Benson LN, Williams WG, Freedom RM, Smallhorn JF. Aortic valve regurgitation after surgical versus percutaneous balloon valvotomy for congenital aortic valve stenosis Am J Cardiol 1996;77:1332-1338.
Solymar L, Sudow G, Berggren H, Eriksson B. Balloon dilatation of stenotic aortic valve in children: an intra operative study, J Thorac Cardiovasc Surg 1992;104:1709-1713.
Fischer DR, Ettedegui JA, Park SC, Siewers RD, del Nido P. Carotid approach for balloon dilatation of aortic valve stenosis in the neonate: a preliminary report. J Am Cardiol 1990;15:1633-163.
O’Laughlin MP, Slack MC, Grifka R, Mullins CE. Prograde double balloon dilation of congenital aortic valve stenosis: a case report. Cathet Cardiovasc Diagn 1993;28:134-136.
Hausdorf G, Schneider M, Schirmer KR, Schulze-Neick J, Lange PE. Antegrade balloon valvuloplasty of aortic stenosis in children. Am J Cardiol 1993;71:460-462.
Chartrand CC, Saro-Serrando E, Vobecky JS. Long term results of surgical valvuloplasty for congenital valvular aortic stenosis in children. Ann Thorac Surg 1999;68:1356-1360.
Lambert V, Obreja D, Losay J, Touchot-Koné A, Piot JD, Serraf A, Lacour-Gayet F, Planche C. Long-term results after valvulotomy for congenital aortic valvular stenosis in children. Cardiol Young 2000;10:590-596.