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September 17, 2026Cardiology in the Young

Incidentally diagnosed severe pulmonary valvar stenosis complicated by secondary cardiac hepatopathy in an adolescent: balloon valvoplasty as a bridge to surgery

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Population

17-year-old girl with severe pulmonary valvar stenosis complicated by secondary cardiac hepatopathy

Design

Case_report

Key result

Balloon valvoplasty reversed hepatic injury in a 17-year-old girl with severe pulmonary valvar stenosis, serving as a safe bridge to valve replacement surgery.

Authors

BKBihter KarabacakAYAyşe Ünal YüksekgönülUPUtku Pamuk

Discussion

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Overview

May support valvoplasty as a bridge in rare cases with hepatopathy; leaves open generalizability beyond this single report.

Key Points

  • To describe the presentation of silent severe pulmonary valvar stenosis complicated by secondary hepatic dysfunction and evaluate percutaneous balloon valvoplasty as a preoperative stabilizing intervention.
  • Clinical assessment, diagnostic workup, and monitoring of serum aminotransferase levels in a 17-year-old female presenting with incidental high-grade murmur.
  • Correction of anemia and hypotension followed by percutaneous balloon valvoplasty and subsequent surgical valve replacement for a dysplastic valve.
  • Correction of anemia and systemic hypotension failed to prevent the rise of serum aminotransferases.
  • Relief of right ventricular outflow obstruction via balloon valvoplasty resolved hepatic injury and normalized liver enzymes, facilitating safe definitive surgical valve replacement.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 17-year-old girl with severe pulmonary valvar stenosis complicated by secondary cardiac hepatopathy.
I
Intervention
Balloon valvoplasty
O
Outcome
Reversal of hepatic injury (reduction in aminotransferases) and safe progression to valve replacement

Balloon valvoplasty can serve as an effective bridge to surgery in patients with severe pulmonary valvar stenosis complicated by secondary cardiac hepatopathy.

Cite This Study

Karabacak et al. (2026) conducted a case report in Severe pulmonary valvar stenosis complicated by secondary cardiac hepatopathy (n=1). Balloon valvoplasty was evaluated on Reversal of hepatic injury and bridging to valve replacement surgery. Balloon valvoplasty reversed hepatic injury in a 17-year-old girl with severe pulmonary valvar stenosis, serving as a safe bridge to valve replacement surgery.

synapsesocial.com/papers/6aabb7975f706d05830e6c29https://doi.org/10.1017/s1047951126124019
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Balloon valvuloplasty and angioplasty in congenital heart disease.1985 · 51 citations
  2. 2Management of pediatric patients with isolated valvar aortic stenosis by balloon aortic valvuloplasty1996 · 56 citations
  3. 3Severe aortic regurgitation and pulmonary hypertension in an 18-year-old patient after balloon aortic valvuloplasty (RCD code: IV-5.A2)2016
  4. 4Percutaneous Pulmonary Balloon Valvuloplasty in A Young Adult with Pulmonary Stenosis — A Case Report2009 · 1 citations
  5. 5Percutaneous Balloon Valvuloplasty for Pulmonic Stenosis in Adolescents and Adults1996 · 171 citations