Key result
Balloon aortic valvuloplasty was successfully performed in a neonate with critical aortic stenosis immediately after delivery, with the patient making satisfactory progress and being discharged 4 months later.
Case Report (n=1)
No
Immediate postnatal balloon aortic valvuloplasty with multidisciplinary anesthetic management is feasible and can be life-saving for neonates with prenatally diagnosed critical aortic stenosis.
Answers are grounded in this paper and cite their sources.
Case report suggests immediate postnatal valvuloplasty may be feasible in critical neonatal AS; hypothesis-generating and requires prospective validation.
胎児超音波診断により重症大動脈弁狭窄症と診断され, 出生直後にバルーン大動脈弁拡張術 (balloon aortic valvuloplasty: BAV) を行った新生児症例の麻酔管理を経験した. 胎児診断され在胎36週で当院に搬送され, 子宮内胎児死亡の可能性が高いことから各部署合同カンファレンスを行い, 新生児BAVが予定された. 予定帝王切開術により娩出後, ただちに心臓カテーテル検査室へ搬送されBAVが施行され, 出生53分後に終了した. 周術期管理は循環維持に極力配慮し, 出生後から刻々と変化する病態に対応して行い無事管理しえた. 本疾患の周術期管理には, 母子双方の医療に関与する麻酔科医を含む手術部の役割は大きいと思われた.
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Ide et al. (2007) conducted a case report in Critical aortic stenosis (n=1). Balloon aortic valvuloplasty was evaluated on Procedural success and survival. Balloon aortic valvuloplasty was successfully performed in a neonate with critical aortic stenosis immediately after delivery, with the patient making satisfactory progress and being discharged 4 months later.
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