BALLOON
VALVULOPLASTY IN INFANTS WITH CRITICAL PULMONARY STENOSIS
Rosengart R.,
Degner T., Salem M., Swilley S.
Department of
Pediatrics, Kaiser Permanente Medical Center, Los Angeles, California, USA
Objective: Infants
with critical pulmonic stenosis have required surgery to open the pulmonary
valve and often also establish a systemic to pulmonary artery shunt.
Balloon Valvuloplasty offers a safe alternative to surgery.
Methods:
¡¤
Identify infants less than one week of age who
presented with critical pulmonary stenosis.
¡¤
Assess feasibility of valvuloplasty in this group.
¡¤
Assess hemodynamics after intervention.
¡¤
Review technique to assure successful
valvuloplasty.
¡¤
Measure length of stay, number of days on
Prostaglandin E, and report follow-up.
Results: Between
July 1999 and April 2001, 10 neonates have presented with critical pulmonic
stenosis. All 10 have had successful valvuloplasty and were discharged from
the hopital. There was no mortality.
All patients are well.
One required re-intervention, one required surgery after second
valvuloplasty three month later.
Conclusion: Balloon
Valvuloplasty is a safe effective method for opening the pulmonary valve in
neonates with critical pulmonic stenosis.