Long-term results of percutaneous balloon valvuloplasty of congenital aortic stenosis in adolescents and young adults

Awasthy, Neeraj; Garg, Ria; Radhakrishnan, S.; Shrivastava, Savitri

doi:10.1016/j.ihj.2016.03.001

Cited by 17 publications

(13 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Subsequently, a number of cardiologists have applied this technique and reported their results, extensively referenced elsewhere 4, 5, 8, 9, 10, 11, 12, 13. In this issue of the Journal, Awasthy and associates 14 evaluate long-term results of BAV with particular attention to adolescent and adults. They compared the outcomes of this subset with those of children below 1 year of age and those between 1 and 11 years.…”

mentioning

confidence: 99%

Balloon aortic valvuloplasty

Rao

2016

Indian Heart Journal

View full text Add to dashboard Cite

mentioning

confidence: 99%

Balloon aortic valvuloplasty

Rao

2016

Indian Heart Journal

View full text Add to dashboard Cite

“…Valvulotomy can be done surgically or percutaneously. Open valvulotomy is not common practice in the current era for young adults and was previously considered a palliative treatment, with reoperation needed in 25–40% of patients with in 10 years ( 52 – 54 ). Balloon valvuloplasty can be a safe and effective treatment for children presenting with congenital AS.…”

Section: Surgical Optionsmentioning

confidence: 99%

“…Balloon valvuloplasty can be a safe and effective treatment for children presenting with congenital AS. It confers palliative benefits by providing a reduction in gradient ranging from 49–70%, thus delaying the time for more definite surgical intervention ( 53 , 54 ). Currently this is less appealing compared to other interventions as there is a significant risk of developing severe aortic incompetence and there is a need for repeat balloon valvulotomy or definitive intervention.…”

Section: Surgical Optionsmentioning

confidence: 99%

“…Currently this is less appealing compared to other interventions as there is a significant risk of developing severe aortic incompetence and there is a need for repeat balloon valvulotomy or definitive intervention. Percutaneous procedures are used commonly in children but even in this subgroup there has been a resurgence of open valvuloplasty, even in neonates ( 54 – 56 ).…”

Section: Surgical Optionsmentioning

confidence: 99%

See 1 more Smart Citation

Surgery for Young Adults With Aortic Valve Disease not Amenable to Repair

et al. 2018

View full text Add to dashboard Cite

Aortic valve replacement is the gold standard for the management of patients with severe aortic stenosis or mixed pathology that is not amenable to repair according to currently available guidelines. Such a simplified approach may be suitable for many patients, but it is far from ideal for young adults considering emerging evidence demonstrating that conventional valve replacement in this cohort of patients is associated with inferior long-term survival when compared to the general population. Moreover; the utilisation of mechanical and bioprosthetic valves can significantly impact on quality and is linked to increased rates of morbidities. Other available options such as stentless valve, homografts, valve reconstruction and Ross operation can be an appealing alternative to conventional valve replacement. Young patients should be fully informed about all the options available - shared decision making is now part of modern informed consent. This can be achieved when referring physicians have a better understanding of the short and long term outcomes associated with every intervention, in terms of survival and quality of life. This review presents up to date evidence for available surgical options for young adults with aortic stenosis and mixed disease not amenable to repair.

show abstract

“…Furthermore, most of the data regarding outcomes of BAV are obtained from studies performed in developed countries. Data regarding the experience and management of congenital aortic stenosis in developing countries are scarce [ 8 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

Balloon Valvuloplasty for Congenital Aortic Stenosis: Experience at a Tertiary Center in a Developing Country

Charafeddine

Houssein

Kibbi

et al. 2021

Journal of Interventional Cardiology

View full text Add to dashboard Cite

Background. Aortic valve stenosis accounts for 3–6% of congenital heart disease. Balloon aortic valvuloplasty (BAV) is the preferred therapeutic intervention in many centers. However, most of the reported data are from developed countries. Materials and Methods. We performed a retrospective single-center study involving consecutive eligible neonates and infants with congenital aortic stenosis admitted for percutaneous BAV between January 2005 and January 2016 to our tertiary center. We evaluated the short- and mid-term outcomes associated with the use of BAV as a treatment for congenital aortic stenosis (CAS) at a tertiary center in a developing country. Similarly, we compared these outcomes to those reported in developed countries. Results. During the study period, a total of thirty patients, newborns (n = 15) and infants/children (n = 15), underwent BAV. Left ventricular systolic dysfunction was present in 56% of the patients. Isolated AS was present in 19 patients (63%). Associated anomalies were present in 11 patients (37%): seven (21%) had coarctation of the aorta, two (6%) had restrictive ventricular septal defects, one had mild Ebstein anomaly, one had Shone’s syndrome, and one had cleft mitral valve. BAV was not associated with perioperative or immediate postoperative mortality. Immediately following the valvuloplasty, a more than mild aortic regurgitation was noted only in two patients (7%). A none-to-mild aortic regurgitation was noted in the remaining 93%. One patient died three months after the procedure. At a mean follow-up of 7 years, twenty patients (69%) had more than mild aortic regurgitation, and four patients (13%) required surgical intervention. Kaplan–Meier freedom from aortic valve reintervention was 97% at 1 year and 87% at 10 years of follow-up. Conclusion. Based on outcomes encountered at a tertiary center in a developing country, BAV is an effective and safe modality associated with low complication rates comparable to those reported in developed countries.

show abstract

Long-term results of percutaneous balloon valvuloplasty of congenital aortic stenosis in adolescents and young adults

Abstract: There is no statistical difference in the long-term outcome in the adults and adolescents as compared to the children; thus BAV remains an obvious treatment of choice with good long-term outcome.

Cited by 17 publications

References 20 publications

Balloon aortic valvuloplasty

Balloon aortic valvuloplasty

Surgery for Young Adults With Aortic Valve Disease not Amenable to Repair

Balloon Valvuloplasty for Congenital Aortic Stenosis: Experience at a Tertiary Center in a Developing Country

Contact Info

Product

Resources

About