Key result
Percutaneous or surgical aortic valve repair is recommended as the initial management strategy in children with aortic valve disease, with replacement reserved for when repair is not possible or fails.
This review summarizes treatment strategies, techniques, and outcomes for aortic valve repair and replacement in pediatric patients.
Supports repair-first strategy in pediatric aortic valve disease; leaves open need for prospective validation of durability.
Several aortic valve (AV) pathologies might necessitate intervention. Percutaneous or surgical AV repair is generally recommended as the initial management strategy in children with AV disease, offering the advantage of stabilization of the heart dimensions and improvement of patients' symptoms. When AV repair is not possible or fails, AV replacement is necessary and is associated with several challenges in children. This review will focus on treatment strategy, AV repair techniques, AV replacement choices and outcomes of AV disease management in children.
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Alsoufi et al. (2013) conducted a review in Aortic valve disease. Aortic valve repair and replacement was evaluated. Percutaneous or surgical aortic valve repair is recommended as the initial management strategy in children with aortic valve disease, with replacement reserved for when repair is not possible or fails.
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