Are outcomes of surgical versus transcatheter balloon valvotomy equivalent in neonatal critical aortic stenosis?

For neonates with critical aortic valve stenosis who are selected for biventricular repair, valvotomy can be achieved surgically (SAV) or by transcatheter balloon dilation (BAV). Data regarding 110 neonates with critical aortic valve stenosis were evaluated in a study by the Congenital Heart Surgeon...

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Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 2001-09, Vol.104 (12 Suppl 1), p.I152-I158
Main Authors: McCrindle, B W, Blackstone, E H, Williams, W G, Sittiwangkul, R, Spray, T L, Azakie, A, Jonas, R A
Format: Article
Language:English
Subjects:
Acute Disease
Aortic Valve Insufficiency - etiology
Aortic Valve Stenosis - diagnosis
Aortic Valve Stenosis - surgery
Cardiac Surgical Procedures - adverse effects
Cardiac Surgical Procedures - statistics & numerical data
Catheterization - statistics & numerical data
Demography
Echocardiography
Follow-Up Studies
Humans
Infant, Newborn
Prospective Studies
Reoperation - statistics & numerical data
Risk Assessment
Risk Factors
Survival Analysis
Survival Rate
Treatment Outcome
Videotape Recording
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Summary:For neonates with critical aortic valve stenosis who are selected for biventricular repair, valvotomy can be achieved surgically (SAV) or by transcatheter balloon dilation (BAV). Data regarding 110 neonates with critical aortic valve stenosis were evaluated in a study by the Congenital Heart Surgeons Society from 1994 to 1999. Reduced left ventricular function was present in 46% of neonates. The initial procedure was SAV in 28 patients and BAV in 82 patients. Mean percent reduction in systolic gradient was significantly greater with BAV (65+/-17%) than SAV (41+/-32%; P
ISSN:0009-7322
1524-4539
DOI:10.1161/circ.104.suppl_1.I-152