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Anterograde double-balloon valvoplasty for treatment of severe valvar aortic stenosis in a preterm baby weighing 1400 grams

Published online by Cambridge University Press:  19 August 2008

Matthias Peuster*
Affiliation:
Department of Pediatric Cardiology and Pediatric Intensive Care, Children's Hospital, Hannover Medical School, Hannover, Germany
Thomas Paul
Affiliation:
Department of Pediatric Cardiology and Pediatric Intensive Care, Children's Hospital, Hannover Medical School, Hannover, Germany
Gerd Hausdorf
Affiliation:
Department of Pediatric Cardiology and Pediatric Intensive Care, Children's Hospital, Hannover Medical School, Hannover, Germany
*
Matthias Peuster, M.D., Department of Pediatric cardiology, children's Hospital, Hannover Medical School, D-3062 3 Hannover, Germany. Tel: +49 511 532 3220; Fax: +49 511 532 9038; E-mail: [email protected]

Abstract

We describe our treatment of a premature baby born weighing 1400 g with severe aortic stenosis, with a gradient of 80 mmHg across the valve. Efforts to advance a 6 mm angioplasty catheter into the stenotic aortic valve via the left ventricle failed. Anterograde angioplasty, instead, was performed using two 4 mm coronary angioplasty catheters. Six months subsequent to the intervention, the pressure gradient measured 25 mmHg, and there was no hemodynamically significant aortic insufficiency.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2000

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