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Transcatheter management of neonatal aortic stenosis*

Published online by Cambridge University Press:  29 December 2014

Gary E. Stapleton
Gary E. Stapleton*
Affiliation:
Johns Hopkins All Children’s Heart Institute, All Children’s Hospital, Saint Petersburg, Florida, United States of America
*
Correspondence to: Dr G. E Stapleton, MD, Johns Hopkins All Children’s Heart Institute, All Children’s Hospital, Outpatient Care Center, 2nd Floor, 601 5th Street South, St. Petersburg, FL 33701, United States of America. Tel: +727 767 3333; Fax: +727 767 8990; E-mail: [email protected]
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Abstract

Neonatal aortic valvar stenosis can be challenging to treat because of the varied morphology of the valve, the association with hypoplasia of other left heart structures, and the presence of left ventricular systolic dysfunction or endomyocardial fibroelastosis. Balloon valvuloplasty and surgical valvotomy have been well described in the literature for the treatment of neonatal aortic stenosis. Transcatheter therapy for neonatal aortic stenosis is the preferred method at many centres; however, some centres prefer a surgical approach. Balloon valvuloplasty for neonatal aortic stenosis is reviewed in this manuscript, including the history of the procedure, technical aspects, and acute and long-term outcomes.

Keywords

Cardiac catheterisationballoon valvuloplastyaortic stenosisneonate
Type
Original Article
Information
Cardiology in the Young , Volume 24 , Issue 6: HeartWeek 2014 , December 2014 , pp. 1117 - 1120
Copyright
© Cambridge University Press 2014 

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Footnotes

*

Presented at All Children's Hospital Johns Hopkins Medicine 14th International Symposium on Congenital Heart Disease, Saint Petersburg, Florida, 15–18 February 2014, Special Focus: Diseases of the Cardiac Valves from the Fetus to the Adult, Co-Sponsor: The American Association for Thoracic Surgery (AATS).

References

1.Lababidi, Z, Jiunn-Renn, W, Walls, JT. Percutaneous balloon aortic valvuloplasty: results in 23 patients. Am J Cardiol 1984; 53: 194–197.Google Scholar
2.Kasten-Sportes, CH, Piechaud, JF, Sidi, D, et al. Percutaneous balloon valvuloplasty in neonates with critical aortic stenosis. J Am Coll Cardiol 1989; 13: 1101–1105.Google Scholar
3.Fischer, DR, Ettedgui, JA, Park, SC, et al. Carotid artery approach for balloon dilation of aortic valve stenosis in the neonate: a preliminary report. J Am Coll Cardiol 1990; 15: 1633–1636.Google Scholar
4.Beekman, RH, Rocchini, AP, Andes, A. Balloon valvuloplasty for critical aortic stenosis in the newborn: influence of new catheter technology. J Am Coll Cardiol 1991; 17: 1172–1176.Google Scholar
5.Kobayashi, D, Sallaam, S, Aggarwal, S, et al. Catheterization-based intervention in low birth weight infants less than 2.5 kg with acute and long-term outcome. Catheter Cardiovasc Interv 2013; 82: 802–810.CrossRefGoogle ScholarPubMed
6.Borghi, A, Agnoletti, G, Poggiani, C. Surgical cutdown of the right carotid artery for aortic balloon valvuloplasty in infancy: midterm follow-up. Pediatr Cardiol 2001; 22: 194–197.Google Scholar
7.Weber, HS, Mart, CR, Kupferschmid, J, et al. Transcarotid balloon valvuloplasty with continuous transesophageal echocardiographic guidance for neonatal critical aortic valve stenosis: an alternative to surgical palliation. Pediatr Cardiol 1998; 19: 212–217.Google Scholar
8.Hamidi-Manesh, L, Tibby, SM, Herman, R, et al. Influence of ballloon size on aortic regurgitation in neonates undergoing balloon aortic valvuloplasty – a retrospective study over and 11-year period. J Interv Cardiol 2013; 26: 200–207.Google Scholar
9.Wizke, C, Don, CW, Cubeddu, RJ, et al. Impact for rapid ventricular pacing during percutaneous balloon aortic valvuloplasty in patients with critical aortic stenosis: should we be using it? Catheter Cardiovasc Interv 2010; 75: 444–452.Google Scholar
10.Maskatia, SA, Justino, H, Ing, FF, et al. Aortic valve morphology is associated with outcomes following balloon valvuloplasty for congenital aortic stenosis. Catheter Cardiovasc Interv 2013; 81: 90–95.Google Scholar
11.McCrindle, BW, Blackstone, EH, Williams, WG, et al. Are outcomes of surgical versus transcatheter balloon valvotomy equivalent in neonatal critical aortic stenosis? Circulation 2001; 104: I152–I158.Google Scholar
12.Egito, ES, Moore, P, O’Sullivan, J, et al. Transvascular balloon dilation for neonatal critical aortic stenosis: early and midterm results. J Am Coll Cardiol 1997; 29: 442–447.Google Scholar
13.Petit, CJ, Ing, FF, Mattamal, R, et al. Diminished left ventricular function is associated with poor mid-term outcomes in neonates after balloon aortic valvuloplasty. Catheter Cardiovasc Interv 2012; 80: 1190–1199.Google Scholar
14.Han, RK, Gurofsky, RC, Lee, KJ, et al. Outcome and growth potential of left heart structures after neonatal intervention for aortic valve stenosis. J Am Coll Cardiol 2007; 50: 24–6–14.Google Scholar
15.McElhinney, DB, Lock, JE, Keane, JF, et al. Left heart growth, function, and reintervention after balloon aortic valvuloplasty for neonatal aortic stenosis. Circulation 2005; 111: 451–458.Google Scholar
16.Brown, DW, Dipilato, AE, Chong, EC, et al. Aortic valve reinterventions after balloon aortic valvuloplasty for congenital aortic stenosis. J Am Coll Cardiol 2010; 56: 1740–1749.CrossRefGoogle ScholarPubMed
17.Petit, CJ, Maskatia, SA, Justino, H, et al. Repeat balloon aortic valvuloplasty effectively delays surgical intervention in children with recurrent aortic stenosis. Catheter Cardiovasc Interv 2013; 82: 549–555.Google Scholar
18.Fratz, S, Gildein, HP, Balling, G, et al. Aortic valvuloplasty in pediatric patients substantially postpones the need for aortic valve surgery. Circulation 2008; 117: 1201–1206.Google Scholar
19.Siddiqui, J, Brizard, CP, Galata, JC, et al. Surgical valvotomy and repair for neonatal and infant congenital aortic stenosis achieves better results than inventional catheterization. J Am Coll Cardiol 2013; 62: 2134–2140.Google Scholar
20.Rehnstrom, P, Malm, T, Jogi, P, et al. Outcome of surgical commissurotomy for aortic valve stenosis in early infancy. Ann Thorac Surg 2007; 84: 594–598.Google Scholar