Neonatal Ross–Konno operation and endocardial fibroelastosis resection after foetal percutaneous aortic valve balloon valvuloplasty: a complex approach to rescue the left heart

We report a case of a patient who presented with aortic stenosis and a borderline left ventricle during foetal life. A balloon aortic valve valvuloplasty was performed in uterus, and in the postnatal period for relief of the left ventricular outflow tract obstruction followed by a Ross–Konno procedu...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2014-09, Vol.46 (3), p.498-499
Main Authors: Perez-Negueruela, Carolina, Mayol, Javier, Prada, Fredy, Caffarena-Calvar, Jose Maria
Format: Article
Language:English
Subjects:
Balloon Valvuloplasty - methods
Cardiac Surgical Procedures - methods
Endocardial Fibroelastosis - surgery
Female
Fetoscopy - methods
Humans
Infant, Newborn
Male
Pregnancy
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Summary:We report a case of a patient who presented with aortic stenosis and a borderline left ventricle during foetal life. A balloon aortic valve valvuloplasty was performed in uterus, and in the postnatal period for relief of the left ventricular outflow tract obstruction followed by a Ross–Konno procedure with fibroelastosis resection. These successful interventions allowed left ventricular growth and the conversion to a biventricular circulation after a single-stage surgery.
ISSN:1010-7940
1873-734X
DOI:10.1093/ejcts/ezu010