Long-term results after balloon pulmonary valvuloplasty.

Abstract

BPV provides long-term relief of pulmonary valvular obstruction in the majority of patients. Close follow-up of patients who require BPV at less than 2 years of age is warranted.

ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease

“…In another report of 127 adult patients without valve dysplasia, excellent results were also observed, with a residual gradient primarily found only in those patients who had an inadequate initial result. 403 In the VACA registry, 404 follow-up data were available on 533 patients a mean of 8.7 years after valvotomy. A suboptimal result (defined as gradient greater than 35 mm Hg at the end of the procedure) was present in 23%.…”

Pediatric Cardiology and Cardiovascular Surgery: 1950-2000

“…76 However, it was the introduction of static balloon dilation by Kan and her colleagues that fostered the application of this therapeutic modality to a greater audience. 77,78 Over the past 2 decades, the technique has become the "treatment of choice" for pulmonary valve stenosis at any age and with any valve morphology. The safety and efficacy of the technique in infants, children, and adolescents has been confirmed by numerous studies summarized by McCrindle and Kan. 78 But catheter-based therapy for congenital heart disease was clearly focused by the then novel approach of Rashkind and Miller, who in 1966 demonstrated the role of balloon atrial septostomy as a maneuver to promote mixing at the atrial level in the patient with complete transposition of the great arteries.…”

“…77,78 Over the past 2 decades, the technique has become the "treatment of choice" for pulmonary valve stenosis at any age and with any valve morphology. The safety and efficacy of the technique in infants, children, and adolescents has been confirmed by numerous studies summarized by McCrindle and Kan. 78 But catheter-based therapy for congenital heart disease was clearly focused by the then novel approach of Rashkind and Miller, who in 1966 demonstrated the role of balloon atrial septostomy as a maneuver to promote mixing at the atrial level in the patient with complete transposition of the great arteries. 79 The application of this technique forever changed the outcome for patients with transposition of the great arteries and was immediately assimilated into the therapy of the neonate with transposition and inadequate mixing.…”

Pulmoner balon valvüloplasti yapılan çocuklarda kalp kateterizasyonu sonuçlarının değerlendirilmesi

“…Eğer hastada ağır pulmoner kapak yetmezliğiyle birlikte kalp yetmezliği kliniği de varsa komplikasyon gelişme ihtimali daha yüksektir. Pulmoner balon valvüloplasti işlemine bağlı oluşabilen komplikasyonlar arasında pulmoner kapak yetmezliği, kapağın ve anülüsün yırtılması, pulmoner arter zedelenmesi, triküs-pit kapak zedelenmesi ve yetmezliği, infektif endokardit, aritmiler, kanama ve tromboz, kardiyak tamponat, bradikardi ve hipotansiyon sayılabilir (1,3,8,11,12,17,19,(21)(22)(23). Bizim çalışmamızda bulunan hastalarda işlemden sonra ve kontrollerde önemli bir komplikasyon gelişmedi-ği, dört hastada (%30) EKO ile tespit edilen, klinik olarak anlamlı olmayan hafif pulmoner kapak yetmezliği gelişti-ği, zamanla artmadığı görüldü.…”