Long-term results (up to 17 years) of pulmonary balloon valvuloplasty in adults and its effects on concomitant severe infundibular stenosis and tricuspid regurgitation

Fawzy, Mohamed; Hassan, Walid; Fadel, Bahaa M.; Sergani, Hani Al; Shaer, Fayez El; Widaa, Hassan El; Sanei, Aly Al

doi:10.1016/j.ahj.2006.11.021

Cited by 41 publications

(22 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…18) Severe PR could deteriorate RV function and exercise capacity over time. In addition, evidence suggests that long-standing PR with right-sided cardiac chamber enlargement may be associated with the development of arrhythmias and sudden death.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Medium-term Results of Transcatheter Correction Versus Surgical Treatment for Secundum Type Atrial Septal Defect Combined With Pulmonary Valve Stenosis

Liu

Zhao

et al. 2014

Int. Heart J.

View full text Add to dashboard Cite

SummaryThis study was undertaken to compare the clinical results of traditional surgery and a percutaneous procedure for secundum type atrial septal defect (ASD) combined with pulmonary valve stenosis (PS). A total of 78 consecutive patients were identified between March 2004 and July 2012 in our institution. Thirty-five patients (44.9%) underwent percutaneous correction and the remaining 43 patients (55.1%) were treated surgically. All patients had simultaneous complete correction in both groups and no serious complications occurred. The surgical group was significantly younger (13.9 ± 13.0 versus 31.0 ± 17.5 years, P < 0.001) and had a longer mean hospital stay (12.6 ± 4.7 versus 5.3 ± 1.5 days, P < 0.001). There were no significant differences in defect size (18.0 ± 7.9 versus 16.9 ± 8.4 mm, P = 0.553) and transvalvular gradient detected by transthoracic echocardiography (TTE) (74.7 ± 28.3 versus 87.6 ± 37.8 mmHg, P = 0.089) between the two groups. Significant tricuspid regurgitation (TR) decreased from 66% to 14% in the transcatheter group and from 40% to 9% in the surgical group. Mild pulmonary regurgitation was detected in 8 patients in the transcatheter cohort and in 6 patients in the surgical cohort after the procedure. At last follow-up, 83% and 93% of the patients in the transcatheter and surgical groups, respectively, were free of any symptoms, and a significant improvement from preprocedure was observed in the transcatheter group but not in the surgical group (P = 0.005 and P = 0.062). In conclusion, transcatheter correction is a valuable alternative to surgery and allows more patients to be effectively treated in China. (Int Heart J 2014; 55: 326-330) Key words: Congenital heart disease, Pulmonary stenosis, Interventional therapy, Surgical P ulmonary valve stenosis (PS) combined with atrial septal defect (ASD) is a relatively common form of congenital heart disease. Traditional treatment for PS and ASD is open surgery, which is widely performed with low mortality and excellent early and late results, although it still carries risks, such as residual shunt, postpericardiotomy syndrome, low cardiac output syndrome (LCOS), and wound infection after cardiopulmonary bypass (CPB). In addition, formation of scar tissue after surgery is also a common concern for many patients, especially young females. Since the first successful clinical application and report in 1982, 1) percutaneous balloon pulmonary valvuloplasty (PBPV) has replaced surgery as the initial treatment of choice in patients of all ages with pure PS.2-4) Percutaneous ASD closure has become an established therapy that is performed in increasing numbers of adults and children for its good clinical and follow-up results.5-8) Currently, it is already well known and accepted that ASD closure and balloon valvuloplasty of a nondysplastic pulmonary valve can both be accomplished with high rates of success using the transcatheter approach.9-11) However, there is inadequate literature on the comparison of clinical results between surgical treatment ...

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of Medium-term Results of Transcatheter Correction Versus Surgical Treatment for Secundum Type Atrial Septal Defect Combined With Pulmonary Valve Stenosis

Liu

Zhao

et al. 2014

Int. Heart J.

View full text Add to dashboard Cite

show abstract

“…RV enlargement has been considered uncommon in PS patients after BPV. Assessment of RV dimensions in most previous studies, however, has been done using echocardiography [5,7,21]. Recently, Harrild et al studied PS patients after BPV using CMR imaging and reported that mild PR and mild RV dilatation were often present at long-term follow-up, but that severe PR and severe RV dilatation were very uncommon [17].…”

Section: Discussionmentioning

confidence: 99%

Exercise capacity and ventricular function in patients treated for isolated pulmonary valve stenosis or tetralogy of Fallot

Luijnenburg

Köning

Romeih

et al. 2012

International Journal of Cardiology

View full text Add to dashboard Cite

show abstract

“…Subsequent large series confirmed the immediate efficacy of BPV, and defined the long-term clinical course, particularly among children [4][5][6][7]19]. Similar success has been reported among adults with isolated pulmonary valve stenosis [9][10][11][12]20]. Despite this evidence that BPV is safe and effective in adults, BPV, balloon pulmonary valvuloplasty; PA, pulmonary artery; RV, right ventricle; RVSP, right ventricular systolic pressure.…”

Section: Discussionmentioning

confidence: 71%

“…Pre-and post-BPV hemodynamic data were not available for all children. to our knowledge, only one prior study has documented improvement in patient symptoms following BPV [9].…”

Section: Discussionmentioning

confidence: 92%

Outcomes for balloon pulmonary valvuloplasty in adults: Comparison with a concurrent pediatric cohort

Taggart

Cetta

Cabalka

et al. 2013

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

Long-term results (up to 17 years) of pulmonary balloon valvuloplasty in adults and its effects on concomitant severe infundibular stenosis and tricuspid regurgitation

Cited by 41 publications

References 30 publications

Comparison of Medium-term Results of Transcatheter Correction Versus Surgical Treatment for Secundum Type Atrial Septal Defect Combined With Pulmonary Valve Stenosis

Comparison of Medium-term Results of Transcatheter Correction Versus Surgical Treatment for Secundum Type Atrial Septal Defect Combined With Pulmonary Valve Stenosis

Exercise capacity and ventricular function in patients treated for isolated pulmonary valve stenosis or tetralogy of Fallot

Outcomes for balloon pulmonary valvuloplasty in adults: Comparison with a concurrent pediatric cohort

Contact Info

Product

Resources

About