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Balloon dilation of neonatal critical aortic valvar stenosis via the umbilical artery

Published online by Cambridge University Press:  16 April 2009

Tomaž Podnar ,
Pavel Berden  and
Samo Vesel
Tomaž Podnar*
Affiliation:
Department of Paediatrics, University Medical Centre Ljubljana, Slovenia
Pavel Berden
Affiliation:
Department of Radiology, University Medical Centre Ljubljana, Slovenia
Samo Vesel
Affiliation:
Department of Paediatrics, University Medical Centre Ljubljana, Slovenia
*
Correspondence to: Dr Tomaž Podnar, University Medical Centre Ljubljana, Department of Paediatrics, Vrazov trg 1, 1525 Ljubljana, Slovenia. Tel: +386 1 5229 332; Fax: +386 1 5229 357; E-mail: tomaz.podnar@mf.uni-lj.si
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Abstract

Objectives

To report our experience with balloon dilation of critical aortic valvar stenosis in neonates via the umbilical artery using currently available catheters.

Background

There is no agreement regarding the optimal vascular approach for balloon dilation of critical aortic valvar stenosis in neonates.

Methods

Since June of 2005, we have attempted to obtain umbilical arterial access within the first week after birth in all neonates with critical aortic valvar stenosis. In patients in whom umbilical artery access was obtained, we proceeded with an attempt at balloon dilation.

Results

We were presented with 5 patients with critical aortic valvar stenosis within the first week after birth, and the umbilical arterial approach was obtained in all, with effective relief of the stenosis achieved in 4.

Conclusions

The umbilical arterial approach should always be considered for balloon dilation of neonatal critical aortic valvar stenosis. Using currently available catheters, the procedure is safe, simple, and effective even in patients weighing less than 2.5 kilograms. Further experience using this approach is warranted.

Keywords

Congenital heart diseasecatheterizationaortic valve
Type
Original Article
Information
Cardiology in the Young , Volume 19 , Issue 3 , June 2009 , pp. 278 - 281
Copyright
Copyright © Cambridge University Press 2009

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