Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-14T15:19:10.415Z Has data issue: false hasContentIssue false

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Mosca, RS, lannettoni, MD, Schwartz, SM, Ludomirsky, A, Beekman, RH 3rd, Lloyd, T, Bove, EL. Critical aortic stenosis in the neonate. A comparison of balloon valvuloplasty and trans-ventricular dilatation. J Thorac Cardiovasc Surg 1995; 109: 147154CrossRefGoogle Scholar
2.Gildein, HP, Kleinert, S, Weintraub, RG, Wilkinson, JL, Karl, TR, Mee, RB. Surgical comissurotomy of the aortic valve: outcone of open valvotomy in neonates with critical aortic stenosis. Am Heart J 1996; 131: 754759CrossRefGoogle Scholar
3.Gundry, SR, Behrendt, DM. Prognostic factors in valvotomy for critical aortic stenosis in infancy. J Thorac Cardiovasc Surg 1986; 92: 747754CrossRefGoogle ScholarPubMed
4.Balaji, S, Keeton, BR, Sutherland, GR, Shore, DF, Monro, JL. Aortic valvotomy for critical aortic stenosis in neonates and infants aged less than one year. Br Heart J 1989; 61: 358360CrossRefGoogle ScholarPubMed
5.Hausdorf, G, Schneider, M, Schirmer, KR, Schulze-Neick, I, Lange, PE. Anterograde balloon valvuloplasty of aortic stenosis in children. Am J Cardiol 1993; 71: 460462CrossRefGoogle ScholarPubMed
6.Rocchini, AP, Beekmann, RH, Shachar, GB, Benson, L, Schwartz, D, Kann, JS. Balloon aortic valvuloplasty: results of the valvu loplasty and angioplasty of congenital anomalies registry. Am J Cardiol 1990; 65: 784900CrossRefGoogle Scholar
7.Zeevi, B, Keane, JF, Castaneda, AR, Perry, SB, Lock, JE. Neonatal critical valvar aortic stenosis. A comparison of surgical and balloon dilatation therapy. Circulation 1989; 80: 831839CrossRefGoogle Scholar
8.Egito, ES, Moore, P, OòÀSullivan, J, Colan, S, Perry, SB, Lock, JE, Keane, JF. Transvascular balloon dilatation for neonatal critical aortic stenosis: early and midterm results. JACC 1997; 29: 442447CrossRefGoogle ScholarPubMed
9.Magee, AG, Nykanen, D, McCrindle, BW, Wax, D, Freedom, RM, Benson, LN. Balloon dilatation of severe aortic stenosis in the neonate: comparison of anterograde and retrograde catheter approaches. JACC 1997; 30: 10611066CrossRefGoogle ScholarPubMed
10.Fischer, DR, Ettedgui, JA, Park, SC, Sievers, LW, Nido, PJD. (1990): Carotid artery approach for balloon dilatation of aortic valve stenosis in the neonate: a preliminary report. J Am Coll Cardiol 15: 16331636.CrossRefGoogle ScholarPubMed