soon after successful results of balloon valvuloplasty in treatment of congenital pulmonary stenosis, use of this technique for relief of congenital aortic stenosis (as) was attempted in different parts of the world. with the purpose of assessment the value of valvuloplasty in comparison with surgical valvotomy in relief of congenital as, we retrospectively studied 115 patients with valvar as, ...

Objective: Valvotomy and the autograft procedure are the most common surgical treatment options for children with valvular aortic stenosis. We evaluated the results of these surgical procedures in our institution. Methods: Retrospective analysis was done of all patients presenting with aortic stenosis and operated upon before the age of 18. In 11 patients a valvotomy was performed and in 36 an ...

Surgical treatment of a rheumatic valvular lesion may exaggerate the physical signs or lead to the recognition for the first time of another valvular lesion. This is seen in combined lesions of the aortic and mitral valves and less frequently of the mitral and tricuspid valve. Tricuspid stenosis (Pantridge and Marshall, 1957) and tricuspid incompetence (Mounsey, 1959) have been revealed after m...

Severe valvular aortic stenosis (AS) is one of the congenital heart diseases that may require intervention during infancy(l). Surgical valvotomy (performed under cardiopulmonary bypass) has, until recently, been the only method by which the aortic valve gradients could be reduced. Balloon aortic valvotomy (BAV) has now emerged as an attractive alternative(2,3). Despite the availability of the b...

OBJECTIVES Percutaneous balloon valvotomy was studied retrospectively in newborns with critical pulmonary valve stenosis or atresia to assess its potential role as an alternative therapy to operation. BACKGROUND Severe right ventricular outflow tract obstructions are life-threatening conditions requiring prostaglandin infusion immediately after birth and then relief of the valvular obstructio...

OBJECTIVE To assess immediate and medium term results of transcatheter laser valvotomy with balloon valvoplasty in selected infants with pulmonary atresia and intact ventricular septum. DESIGN Prospective study. SETTING Tertiary cardiac unit. PATIENTS All infants with pulmonary atresia and intact septum with no more than minor tricuspid valve hypoplasia referred between November 1990 and ...

Balloon aortic valvotomy (BAV) is an alternative to surgical valvotomy in infants and children. We compared BAV in 16 consecutive neonates (1985-1988) to surgical valvotomy in a prior group of 16 consecutive neonates (1978-1984). Both groups were comparable in terms of age, weight, hemodynamic data, left ventricular size, and associated lesions. There were six early and one late deaths after su...

BACKGROUND Survival of neonates with critical aortic stenosis has improved over the past decade. Models based on morphological characteristics have been designed to help determine whether early survival is more likely after biventricular repair (surgical or balloon aortic valvotomy) or after a single ventricle staged palliative surgical strategy. However, late follow up data are lacking. OBJE...

PRINCIPLES Percutaneous mitral balloon valvotomy is increasingly being carried out on patients with pure mitral stenosis, but discrepant results are still available at long-term follow-ups following percutaneous balloon and traditional surgical valvotomy. This research sought to systematically compare the efficacy and safety of mitral balloon and surgical valvotomy. METHODS A systematic liter...