Aortic Valve Interventions in Pediatric Patients

Aortic valve (AV) disease in pediatric patients requires a complex decision process that has an impact on decades of life. The aim of this review is to summarize the current evidence surrounding AV interventions in this patient population. In neonates with critical aortic stenosis, the relative meri...

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Bibliographic Details
Published in:Seminars in thoracic and cardiovascular surgery 2019, Vol.31 (2), p.277-287
Main Authors: Bouhout, Ismail, Ba, Papa Salmane, El-Hamamsy, Ismail, Poirier, Nancy
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Aortic valve
Aortic Valve - abnormalities
Aortic Valve - physiopathology
Aortic Valve - surgery
Aortic Valve Stenosis - congenital
Aortic Valve Stenosis - mortality
Aortic Valve Stenosis - physiopathology
Aortic Valve Stenosis - surgery
Balloon Valvuloplasty - adverse effects
Balloon Valvuloplasty - mortality
Bioprosthesis
Cardiac Valve Annuloplasty - adverse effects
Cardiac Valve Annuloplasty - mortality
Child
Child, Preschool
Congenital
Heart Defects, Congenital - mortality
Heart Defects, Congenital - physiopathology
Heart Defects, Congenital - surgery
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - adverse effects
Heart Valve Prosthesis Implantation - instrumentation
Heart Valve Prosthesis Implantation - mortality
Humans
Infant
Infant, Newborn
Postoperative Complications - therapy
Progression-Free Survival
Prosthesis Design
Recovery of Function
Repair
Replacement
Retreatment
Risk Factors
Ross procedure
Time Factors
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Description
Summary:Aortic valve (AV) disease in pediatric patients requires a complex decision process that has an impact on decades of life. The aim of this review is to summarize the current evidence surrounding AV interventions in this patient population. In neonates with critical aortic stenosis, the relative merit of surgical vs balloon valvuloplasty is debated and practices vary depending on centers’ experience with little comparative literature. In children and adolescents, AV repair has regained interest in the last decades with encouraging early and mid-term results. The Ross procedure represents the best AV replacement option as it offers growth potential, excellent hemodynamics, low rates of endocarditis, and thromboembolism without the risks of anticoagulation. Based on contemporary literature, we propose a management algorithm for children AV disease.
ISSN:1043-0679
1532-9488
DOI:10.1053/j.semtcvs.2018.10.009