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Anterograde double-balloon valvoplasty for treatment of severe valvar aortic stenosis in a preterm baby weighing 1400 grams

Published online by Cambridge University Press:  19 August 2008

Matthias Peuster ,
Thomas Paul  and
Gerd Hausdorf
Matthias Peuster*
Affiliation:
Department of Pediatric Cardiology and Pediatric Intensive Care, Children's Hospital, Hannover Medical School, Hannover, Germany
Thomas Paul
Affiliation:
Department of Pediatric Cardiology and Pediatric Intensive Care, Children's Hospital, Hannover Medical School, Hannover, Germany
Gerd Hausdorf
Affiliation:
Department of Pediatric Cardiology and Pediatric Intensive Care, Children's Hospital, Hannover Medical School, Hannover, Germany
*
Matthias Peuster, M.D., Department of Pediatric cardiology, children's Hospital, Hannover Medical School, D-3062 3 Hannover, Germany. Tel: +49 511 532 3220; Fax: +49 511 532 9038; E-mail: Peuster.Matthias@mh-hannover.de
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Abstract

We describe our treatment of a premature baby born weighing 1400 g with severe aortic stenosis, with a gradient of 80 mmHg across the valve. Efforts to advance a 6 mm angioplasty catheter into the stenotic aortic valve via the left ventricle failed. Anterograde angioplasty, instead, was performed using two 4 mm coronary angioplasty catheters. Six months subsequent to the intervention, the pressure gradient measured 25 mmHg, and there was no hemodynamically significant aortic insufficiency.

Keywords

congenital heart diseaseaortic stenosisvalvoplastyballoon dilation
Type
Brief Reports
Information
Cardiology in the Young , Volume 10 , Issue 1 , January 2000 , pp. 67 - 69
Copyright
Copyright © Cambridge University Press 2000

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References

1.Mosca, RS, lannettoni, MD, Schwartz, SM, Ludomirsky, A, Beekman, RH 3rd, Lloyd, T, Bove, EL. Critical aortic stenosis in the neonate. A comparison of balloon valvuloplasty and trans-ventricular dilatation. J Thorac Cardiovasc Surg 1995; 109: 147–154CrossRefGoogle Scholar
2.Gildein, HP, Kleinert, S, Weintraub, RG, Wilkinson, JL, Karl, TR, Mee, RB. Surgical comissurotomy of the aortic valve: outcone of open valvotomy in neonates with critical aortic stenosis. Am Heart J 1996; 131: 754–759CrossRefGoogle Scholar
3.Gundry, SR, Behrendt, DM. Prognostic factors in valvotomy for critical aortic stenosis in infancy. J Thorac Cardiovasc Surg 1986; 92: 747–754CrossRefGoogle ScholarPubMed
4.Balaji, S, Keeton, BR, Sutherland, GR, Shore, DF, Monro, JL. Aortic valvotomy for critical aortic stenosis in neonates and infants aged less than one year. Br Heart J 1989; 61: 358–360CrossRefGoogle ScholarPubMed
5.Hausdorf, G, Schneider, M, Schirmer, KR, Schulze-Neick, I, Lange, PE. Anterograde balloon valvuloplasty of aortic stenosis in children. Am J Cardiol 1993; 71: 460–462CrossRefGoogle ScholarPubMed
6.Rocchini, AP, Beekmann, RH, Shachar, GB, Benson, L, Schwartz, D, Kann, JS. Balloon aortic valvuloplasty: results of the valvu loplasty and angioplasty of congenital anomalies registry. Am J Cardiol 1990; 65: 784–900CrossRefGoogle Scholar
7.Zeevi, B, Keane, JF, Castaneda, AR, Perry, SB, Lock, JE. Neonatal critical valvar aortic stenosis. A comparison of surgical and balloon dilatation therapy. Circulation 1989; 80: 831–839CrossRefGoogle Scholar
8.Egito, ES, Moore, P, OòÀSullivan, J, Colan, S, Perry, SB, Lock, JE, Keane, JF. Transvascular balloon dilatation for neonatal critical aortic stenosis: early and midterm results. JACC 1997; 29: 442–447CrossRefGoogle ScholarPubMed
9.Magee, AG, Nykanen, D, McCrindle, BW, Wax, D, Freedom, RM, Benson, LN. Balloon dilatation of severe aortic stenosis in the neonate: comparison of anterograde and retrograde catheter approaches. JACC 1997; 30: 1061–1066CrossRefGoogle ScholarPubMed
10.Fischer, DR, Ettedgui, JA, Park, SC, Sievers, LW, Nido, PJD. (1990): Carotid artery approach for balloon dilatation of aortic valve stenosis in the neonate: a preliminary report. J Am Coll Cardiol 15: 1633–1636.CrossRefGoogle ScholarPubMed