A holistic approach to aortic valvuloplasty in children and young adults offers a promising alternative to valve replacement by avoiding prosthetic valve drawbacks.
May support valvuloplasty consideration in select young patients; leaves open need for prospective comparative trials.
Valve repair in children and young adults is an attractive alternative to replacement or Ross procedure. In the past, the various valvuloplasty techniques have addressed isolated valve pathology. Recently, however, a holistic approach involving repair of all aortic root structures has evolved and promised to be an excellent alternative to valve replacement. It provides good long-term results and avoids all the drawback of prosthetic valve insertion in this age group. Development of ideal patch material needed for valve repair and better understanding of the anatomy and function of the aortic root may further improve the short- and long-term outcomes of aortic valvuloplasty.
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El‐Zein et al. (2013) studied this question.
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