Key result
Percutaneous balloon aortic valvuloplasty successfully reduced the echocardiographic peak pressure gradient across the aortic valve from 106.5 mmHg to 33.6 mmHg in an 8-year-old boy.
Why the study?
Percutaneous balloon aortic valvuloplasty is considered as a treatment option for severe aortic stenosis in children, but clinical experience and outcomes need to be documented.
Does percutaneous balloon aortic valvuloplasty improve symptoms and hemodynamics in a child with congenital severe aortic stenosis?
Case Report (n=1)
Does percutaneous balloon aortic valvuloplasty improve symptoms and hemodynamics in a child with congenital severe aortic stenosis?
Absolute Event Rate: 33.6% vs 106.5%
Percutaneous balloon aortic valvuloplasty successfully relieved symptoms and improved hemodynamics in an 8-year-old boy with severe congenital aortic stenosis.
Case report suggests hemodynamic benefit of balloon valvuloplasty in pediatric aortic stenosis; hypothesis-generating and should not yet change practice.
A 8 years old boy presented with shortness of breath, cough and palpitation and subsequently diagnosed as a case of severe aortic stenosis with bicuspid aortic valve. Percutaneous balloon aortic valvuloplasty (PBAV) was done and he became asymptomatic. Post procedure his aortic valve area and aortic systolic pressure increased, transaortic pressure gradient decreased. So good result, lower cost, elimination of drawbacks of thoracotomy and cardiopulmonary bypass suggest in children percutaneous balloon aortic valvuloplasty should be the treatment of choice for patients with severe aortic stenosis. Key Words: Percutaneous balloon aortic valvuloplasty, Severe aortic stenosis, Bicuspid aortic valve DOI: http://dx.doi.org/10.3329/cardio.v1i2.8241 Cardiovasc. j. 2009; 1(2): 234-236
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Reza et al. (1970) conducted a case report in Congenital severe aortic stenosis with bicuspid aortic valve (n=1). Percutaneous balloon aortic valvuloplasty was evaluated on Peak pressure gradient across aortic valve. Percutaneous balloon aortic valvuloplasty successfully reduced the echocardiographic peak pressure gradient across the aortic valve from 106.5 mmHg to 33.6 mmHg in an 8-year-old boy.
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