Arquivos Brasileiros de Cardiologia (Aug 2003)

Short- and midterm follow-up results of valvuloplasty with balloon catheter for congenital aortic stenosis

  • Carlos A. C. Pedra,
  • Simone R. F. Pedra,
  • Sérgio L. N. Braga,
  • César A. Esteves,
  • Samuel M. Moreira,
  • Magali A. dos Santos,
  • Ieda J. Bosisio,
  • Maria Aparecida P. Silva,
  • Patrícia F. Elias,
  • Maria Virgínia T. Santana,
  • Valmir F. Fontes

DOI
https://doi.org/10.1590/S0066-782X2003001000001
Journal volume & issue
Vol. 81, no. 2
pp. 120 – 128

Abstract

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OBJECTIVE: To report short and midtem follow-up results of balloon aortic valvuloplasty to treat congenital aortic stenosis. METHODS: Seventy-five patients (median age: 8 years) underwent the procedure through the retrograde femoral or carotid route. RESULTS: The procedure was completed in 74 patients (98.6%). The peak-to-peak systolic gradient dropped from 79.6±27.7 to 22.3±17.8 mmHg (P<0.001), the left ventricular systolic pressure dropped from 164±39.1 to 110±24.8 mmHg (P<0.001), and the left ventricular end diastolic pressure dropped from 13.3±5.5 to 8.5±8.3 mmHg (P< 0.01). Four patients (5.3%) died due to the procedure. Aortic regurgitation (AoR) appeared or worsened in 27/71 (38%) patients, and no immediate surgical intervention was required. A mean follow-up of 50±38 months was obtained in 37 patients. Restenosis and significant AoR were observed in 16.6% of the patients. The estimates for being restenosis-free and for having significant AoR in 90 months were 60% and 50%, respectively. CONCLUSION: Aortic valvuloplasty was considered the initial palliative method of choice in managing congenital aortic stenosis, with satisfactory short- and midterm results.

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