Key result
Primary surgical aortic valvuloplasty appears to provide greater freedom from reintervention and aortic valve replacement compared to balloon aortic valve dilatation in children.
Why the study?
Does surgical aortic valvuloplasty reduce reintervention and aortic valve replacement compared to balloon aortic valve dilatation in children?
Does surgical aortic valvuloplasty reduce reintervention and aortic valve replacement compared to balloon aortic valve dilatation in children?
In children, modern surgical aortic valvuloplasty may offer superior long-term durability and lower reintervention rates compared to balloon aortic valve dilatation.
May support surgical preference in pediatric aortic stenosis; leaves open need for randomized trials before practice change.
Balloon aortic valve dilatation (BAD : is assumed to provide the same outcomes as surgical aortic valvuloplasty (SAV). However, the development of precise modern surgical valvuloplasty techniques may result in better long-term durability of the aortic valve repair. This review of the recent literature suggests that current SAV provides a safe and durable repair. Furthermore, primary SAV appears to have greater freedom from reintervention and aortic valve replacement when compared to BAD.
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Donald et al. (2016) conducted a review in Aortic valve disease. Surgical aortic valvuloplasty (SAV) vs. Balloon aortic valve dilatation (BAD) was evaluated on Freedom from reintervention and aortic valve replacement. Primary surgical aortic valvuloplasty appears to provide greater freedom from reintervention and aortic valve replacement compared to balloon aortic valve dilatation in children.
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