Key result
Balloon aortic valvuloplasty and surgical valvotomy are established treatments for critical aortic stenosis in infants, requiring individualized treatment to optimize survival.
Individualized treatment with balloon aortic valvuloplasty or surgical valvotomy is key to optimizing survival and long-term valve function in infants with critical aortic stenosis.
Supports individualized BAV or valvotomy in neonatal critical AS; comparative trials needed to guide modality selection.
Critical aortic stenosis (AS) in infants is a severe congenital heart defect requiring early intervention to prevent cardiogenic shock and death. Critical AS results from dysplastic valve morphology obstructing left ventricular outflow, presenting with ductal-dependent systemic circulation until intervention can be performed. Balloon aortic valvuloplasty (BAV) and surgical valvotomy are established treatments, with BAV increasingly favored for its less invasive profile. Despite high-reintervention rates, individualized treatment based on anatomy and institutional expertise remains a key to optimizing survival and long-term valve function.
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Petit et al. (2025) conducted a review in Critical aortic stenosis. Balloon aortic valvuloplasty (BAV) and surgical valvotomy was evaluated. Balloon aortic valvuloplasty and surgical valvotomy are established treatments for critical aortic stenosis in infants, requiring individualized treatment to optimize survival.
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