Balloon Valvuloplasty via the Pulmonary Artery Trunk for Treating Neonates With Severe Pulmonary Valve Disease
| Autor: | Xiao-Fu Dai, Kun-An Huang, Dong-Shan Liao, Qian-Zhen Li |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Balloon Valvuloplasty
Male medicine.medical_specialty Pulmonary Artery Balloon Severity of Illness Index Internal medicine Cardiac tamponade medicine.artery Humans Medicine Abnormalities Multiple Cardiac Surgical Procedures Retrospective Studies Pulmonary Valve business.industry Infant Newborn General Medicine medicine.disease Pulmonary Valve Stenosis Treatment Outcome medicine.anatomical_structure Echocardiography Pulmonary Atresia Ventricle Pulmonary valve Pulmonary artery Balloon dilation Cardiology Female Surgery Chordae tendineae Cardiology and Cardiovascular Medicine business Pulmonary atresia Follow-Up Studies |
| Zdroj: | The Heart Surgery Forum. 24:E185-E187 |
| ISSN: | 1522-6662 1098-3511 |
| DOI: | 10.1532/hsf.3423 |
| Popis: | Background: Percutaneous balloon pulmonary valvuloplasty has proven to be a standard of care for neonates with severe pulmonary valve disease. However, the peripheral vessel injury, tricuspid chordae tendineae rupture, and cardiac tamponade could occur. Recently, we performed balloon valvuloplasty through pulmonary artery trunk. To date, the obtained outcome was promising. Methods: Between January 2018 and December 2018, three neonates with critical pulmonary stenosis and two with membranous pulmonary atresia with intact ventricular septum were enrolled in our center. Balloon valvuloplasty through pulmonary artery trunk was performed in all patients. A 2-cm parasternal incision was made in the left third intercostal space. A guidewire was used to advance or perforate the pulmonary valve from the pulmonary artery trunk into the right ventricle, followed by balloon dilation of the valve. Results: The procedure was successful in all patients. The oxygen saturation increased immediately after the balloon dilation, while the right ventricular systolic pressure and the gradient across the pulmonary valve decreased. No severe complications occurred. Conclusions: Balloon valvuloplasty through the pulmonary artery trunk is a safe and feasible alternative procedure. Thus, it could serve as a supplementary choice for treating severe pulmonary valve disease. |
| Databáze: | OpenAIRE |
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