Balloon Valvuloplasty for Congenital Aortic Valve Stenosis in an Infant and Children

Kuninobu Saiki, Hirohisa Kato, Kazushige Suzuki, Osamu Inoue, On Toyoda, Junichi Takagi, Noboru Sato, Nobutoshi Ohara, Teiji Akagi, Masahiro Ishii, Takumi Miyake, Tetsu Sugimura, Yasuki Maeno, Kanoko Hashino, Tsuyoshi Fukuda

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Percutaneous balloon aortic valvuloplasty (BAV) was performed in 14 patients, including one critically ill infant with congenital valvular aortic stenosis (AS). BAV was effective in 13 patients (except the infant). The peak systolic pressure gradient between the left ventricle (LV) and the ascending aorta decreased from 76.6 ± 21.6 to 29.5 ± 15.3 mmHg (P < 0.001). Follow‐up cardiac catheterization was performed for eight patients between 1 and 3 years (1.6 ± 1.1 years) after BAV. Restenosis was found in only one patient, and the efficacy of BAV continued significantly. Aortic regurgitation developed or increased in severity in 5 of 13 children immediately after BAV. Any other severe complication was not observed. Dilatation by BAV was not sufficient for the infant with critical AS, and acute myocardial infarction (AMI) in the lateral wall of the LV occurred during the BAV procedure. The infant died 3 days after the procedure due to AMI. It was concluded that the retrograde double balloon technique was superior to the retrograde single balloon technique. In two cases, the single balloon technique was ineffective because it was impossible to fix the balloon at the aortic annulus. However, the double balloon technique was effective in every patient. BAV is effective for AS in children, and an optional repeat trial may enable BAV to be the first choice for AS. Although BAV may be effective for neonates and infants with critical AS as an emergency treatment, much attention must be paid during the procedure.

Original languageEnglish
Pages (from-to)433-440
Number of pages8
JournalPediatrics International
Volume34
Issue number4
DOIs
Publication statusPublished - Aug 1992
Externally publishedYes

Keywords

  • Balloon aortic valvuloplasty
  • Congenital aortic valve stenosis
  • Critical aortic valve stenosis
  • Interventional cardiology
  • Surgical valvotomy.

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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  • Cite this

    Saiki, K., Kato, H., Suzuki, K., Inoue, O., Toyoda, O., Takagi, J., Sato, N., Ohara, N., Akagi, T., Ishii, M., Miyake, T., Sugimura, T., Maeno, Y., Hashino, K., & Fukuda, T. (1992). Balloon Valvuloplasty for Congenital Aortic Valve Stenosis in an Infant and Children. Pediatrics International, 34(4), 433-440. https://doi.org/10.1111/j.1442-200X.1992.tb00983.x