Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-24T13:40:39.304Z Has data issue: false hasContentIssue false

Successful neonatal balloon aortic valvoplasty following prenatal diagnosis of critical aortic stenosis

Published online by Cambridge University Press:  19 August 2008

Satoshi Yasukochi*
Affiliation:
From the Division of Pediatric Cardiology, Nagano Children's Hospital, Nagano
Gengi Satomi
Affiliation:
From the Division of Pediatric Cardiology, Nagano Children's Hospital, Nagano
Yorikazu Harada
Affiliation:
Division of Cardiovascular Surgery, Nagano Children's Hospital, Nagano
*
Dr. Satoshi Yasukochi, Division of Pediatric Cardiology, Nagano Children's Hospital, Toyoshina, Nagano, 399-82 Japan. Tel. 263-73-6700; Fax. 263-73-5432

Summary

We report a successful neonatal balloon aortic valvoplasty after prenatal diagnosis of critical aortic stenosis with severe left ventricular dysfunction. The infant was delivered by cesarean section at 34 weeks of gestation and had balloon valvoplasty via the right common carotid artery 67 minutes after birth. Left ventricular contraction improved immediately after the procedure. Scheduled balloon aortic valvoplasty immediately after birth subsequent to prenatal diagnosis can improve the outcome of critical aortic stenosis.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 1995

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.Lababidi, Z, Weinhaus, L. Successful balloon valvuloplasty for neonatal critical aoric stenosis. Am Heart J 1986; 112: 913916.CrossRefGoogle Scholar
2.Zeevi, B, Keane, JF, Castaneda, AR, Perry, SB, Lock, JE. Neonatal critical aortic stenosis. A comparison of surgical and balloon dilation therapy. Circulation 1989; 80: 831839.CrossRefGoogle ScholarPubMed
3.Mosca, RS, larmettoni, MD, Schwartz, SM, Ludomirsky, A, Beekman, RH III, Lloyd, T, Bove, EL. Critical aortic stenosis in the neonate: a comparison of balloon valvuloplasty and transventricular dilation. J Thorac Cardiovasc Surg 1995; 109: 142154.CrossRefGoogle ScholarPubMed
4.Kasten-Sportes, CH, Piechaud, JF, Sidi, D, Kachaner, J. Percutaneous ballon valvuloplasty in neonates with critical aortic stenosis. J Am Coll Cardiol 1989; 13: 11011105.CrossRefGoogle Scholar
5.Maxwell, D, Allan, LD, Tynan, MJ. Balloon dilation of the aortic valve in the fetus: a report of two cases. Br Heart J 1991; 65: 256258.CrossRefGoogle ScholarPubMed
6.Schleich, JM, Rey, C, Prat, A, Marache, P, Cajot, MA, Dupuis, C. Dilatation of critical aortic value stenosis in infants under 3 months of age. Our experience from 15 cases. Arch Mai Coeur Vaiss 1993; 86: 549554. [French and English abstract]Google ScholarPubMed
7.Satomi, G, Momoi, N, Kikuchi, N, Nakazawa, M, Momma, K. Prenatal diagnosis and outcome of Ebsein's anomaly and tricuspid dysplasia in relation to lung hypoplasia. Echocardiography 1994; 11: 215220.CrossRefGoogle Scholar
8.Sharland, GK, Chita, SK, Fagg, NLK, Anderson, RH, Tynan, M, Cook, AC, Allan, LD. Left ventricular dysfunction in the fetus: relation to aortic valve anomalies and endocardial fibroelastosis. Br Heart J 1991; 66: 419424.CrossRefGoogle ScholarPubMed
9.Robertson, MA, Byrne, PJ, Penkoske, PA. Perinatal management of critical aortic valve stenosis diagnosed by fetal echo-cardiography. Br Heart J 1989; 61: 365367.CrossRefGoogle Scholar
10.Huhta, JC, Carpenter, RJ, Moise, KJ Jr, Deter, RL, Ott, DA, McNamara, DG. Prenatal diagnosis and postnatal management of critical aortic stenosis. Circulation 1987; 75: 573576.CrossRefGoogle ScholarPubMed