Abstract
Critical aortic stenosis (AS) in the neonate represents a particularly severe form of AS where normal compensatory mechanisms are unable to maintain homeostasis, even at rest. Critical AS may be defined as aortic valve stenosis with congestive heart failure and signs of decreased systemic cardiac output.1 When patients present in infancy with aortic valve stenosis and congestive heart failure, medical management is frequently unsuccessful. Various surgical procedures using both open and closed heart techniques have been attempted to relieve critical AS in infancy.2-7 Percutaneous transluminal balloon valvuloplasty has been performed in patients with critical AS in infancy.7 This procedure is technically difficult and at times impossible. The use of balloon valvuloplasty in the operating room has been described for the treatment of AS.8,9 The technical aspects of intraoperative balloon valvuloplasty and the range of application are still being investigated. Reported complications include severe aortic regurgitation and disruption of an aortic valve cusp. This report describes the use of intraoperative balloon valvuloplasty in 4 neonates who presented with critical AS in the first week of life.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 807-810 |
| Number of pages | 4 |
| Journal | The American Journal of Cardiology |
| Volume | 68 |
| Issue number | 8 |
| DOIs | |
| State | Published - Sep 15 1991 |
| Externally published | Yes |
Fingerprint
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Intraoperative balloon valvuloplasty for critical aortic valvular stenosis in neonates. / Neish, Steven; O'Laughlin, Martin P.; Nihill, Michael R.; Ott, David A.; Cooley, Denton A.
In: The American Journal of Cardiology, Vol. 68, No. 8, 15.09.1991, p. 807-810.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Intraoperative balloon valvuloplasty for critical aortic valvular stenosis in neonates
AU - Neish, Steven
AU - O'Laughlin, Martin P.
AU - Nihill, Michael R.
AU - Ott, David A.
AU - Cooley, Denton A.
PY - 1991/9/15
Y1 - 1991/9/15
N2 - Critical aortic stenosis (AS) in the neonate represents a particularly severe form of AS where normal compensatory mechanisms are unable to maintain homeostasis, even at rest. Critical AS may be defined as aortic valve stenosis with congestive heart failure and signs of decreased systemic cardiac output.1 When patients present in infancy with aortic valve stenosis and congestive heart failure, medical management is frequently unsuccessful. Various surgical procedures using both open and closed heart techniques have been attempted to relieve critical AS in infancy.2-7 Percutaneous transluminal balloon valvuloplasty has been performed in patients with critical AS in infancy.7 This procedure is technically difficult and at times impossible. The use of balloon valvuloplasty in the operating room has been described for the treatment of AS.8,9 The technical aspects of intraoperative balloon valvuloplasty and the range of application are still being investigated. Reported complications include severe aortic regurgitation and disruption of an aortic valve cusp. This report describes the use of intraoperative balloon valvuloplasty in 4 neonates who presented with critical AS in the first week of life.
AB - Critical aortic stenosis (AS) in the neonate represents a particularly severe form of AS where normal compensatory mechanisms are unable to maintain homeostasis, even at rest. Critical AS may be defined as aortic valve stenosis with congestive heart failure and signs of decreased systemic cardiac output.1 When patients present in infancy with aortic valve stenosis and congestive heart failure, medical management is frequently unsuccessful. Various surgical procedures using both open and closed heart techniques have been attempted to relieve critical AS in infancy.2-7 Percutaneous transluminal balloon valvuloplasty has been performed in patients with critical AS in infancy.7 This procedure is technically difficult and at times impossible. The use of balloon valvuloplasty in the operating room has been described for the treatment of AS.8,9 The technical aspects of intraoperative balloon valvuloplasty and the range of application are still being investigated. Reported complications include severe aortic regurgitation and disruption of an aortic valve cusp. This report describes the use of intraoperative balloon valvuloplasty in 4 neonates who presented with critical AS in the first week of life.
UR - http://www.scopus.com/inward/record.url?scp=0025941057&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0025941057&partnerID=8YFLogxK
U2 - 10.1016/0002-9149(91)90663-6
DO - 10.1016/0002-9149(91)90663-6
M3 - Article
C2 - 1892095
AN - SCOPUS:0025941057
VL - 68
SP - 807
EP - 810
JO - American Journal of Cardiology
JF - American Journal of Cardiology
SN - 0002-9149
IS - 8
ER -