Results of aortic valvuloplasty in neonates with critical aortic stenosis

  • I. Chornenka Ukrainian Children’s Cardiac Center (Kyiv)
  • N. Rudenko Ukrainian Children’s Cardiac Center (Kyiv)
  • A. Maksimenko Ukrainian Children’s Cardiac Center (Kyiv)
  • I. Yemets Ukrainian Children’s Cardiac Center (Kyiv)
Keywords: aortic stenosis, surgical aortic valvulotomy, neonates

Abstract

The article discusses the results of treatment of critical aortic stenosis in 23 patients aged under 1 month. The main methods of treatment is commissurotomy. All operated patients survived. The follow-up is 23,4±15,5 months. Today the contractile ability of myocardium, in all patients, who are observed, is maintained (ejection fraction 68±1,7%), average aortic valve gradient 23±15,6. Freedom from re-operation in the remote period – 89,5% and survival – 90,5%. So surgical valvuloplasty is an effective treatment of aortic stenosis in the neonates with good immediate and remote results.

References

1. Lillehei C. W., DeWall R. A., Gott V. L., Varco R. L. The direct vision correction of calcific aortic stenosis by means of a pump-oxygenator and retrograde coronary sinus perfusion // Dis Chest. – 1956. – Vol. 30. – P. 123–32.

2. Lababidi Z. Aortic balloon valvuloplasty // Am Heart J. – 1983. – Vol. 106. – P. 751–2.

3. Javariah Siddiqui, Christian P. Brizard, John C. Galati, et al. Surgical Valvotomy and Repair for Neonatal and Infant Congenital Aortic Stenosis Achieves Better Results Than Interventional Catheterization // J Am Coll Cardiol. – 2013 Dec 3. – Vol. 62 (22). – P. 2134–40.

4. Hra?ka V., Sinzobahamvya N., Haun C., Photiadis J., Arenz C., Schneider M.,Аfour B. The long-term outcome of open valvotomy for critical aortic stenosis in neonates // Ann Thorac Surg. – 2012 Nov. – Vol. 94 (5). – P. 1519–26.

5. Brown J. W., Rodefeld M. D., Ruzmetov M., Eltayeb O., Yurdakok O., Turrentine M. W. Surgical valvuloplasty versus balloon aortic dilation for congenital aortic stenosis: are evidence-based outcomes relevant? // Ann Thorac Surg. – 2012 Jul. – Vol. 94 (1). – P. 146–53; discussion 153–5.

6. Agnoletti G., Raisky O., Boudjemline Y., Ou P., Bonnet D., Sidi D., Vouhй P. Neonatal surgical aortic commissurotomy: predictors of outcome and long-term results // Ann Thorac Surg. – 2006 Nov. – Vol. 82 (5). – P. 1585–92.

7. Prijic S. M., Vukomanovic V. A., Stajevic M. S., Bjelakovic B. B., Zdravkovic M. D., Sehic I. N., Kosutic J.Lj. Balloon dilation and surgical valvotomy comparison in non-critical congenital aortic valve stenosis // Pediatr Cardiol. – 2015 Mar. – Vol. 36 (3). – P. 616–24.
Published
2016-09-12
How to Cite
Chornenka, I., Rudenko, N., Maksimenko, A., & Yemets, I. (2016). Results of aortic valvuloplasty in neonates with critical aortic stenosis. Ukrainian Journal of Cardiovascular Surgery, (2 (25), 67-69. Retrieved from https://cvs.org.ua/index.php/ujcvs/article/view/236
Section
CONGENITAL HEART DEFECTS