Pulmonary balloon valvuloplasty in newborn and childhood period: Short-and mid-term results Yenidoǧan ve çocukluk döneminde balon pulmoner valvüloplasti: Kisa ve orta dönem sonuçlarimiz
Turkiye Klinikleri Cardiovascular Sciences, cilt.23, sa.3, ss.207-211, 2011 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 23 Sayı: 3
- Basım Tarihi: 2011
- Dergi Adı: Turkiye Klinikleri Cardiovascular Sciences
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.207-211
- Anahtar Kelimeler: Balloon dilatation, Child, Heart catheterization, pulmonary valve stenosis, Newborn
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To examine our clinical experiences, data, short-and mid-term results of pulmonary balloon valvuloplasty (PBV) for congenital pulmonary stenosis. Material and Methods: The data of 47 patients who underwent PBV between January 2005 and October 2010 were analysed retrospectively. Echocardiography, cardiac catheterization and balloon valvuloplasty were performed to all patients. Results: PBV procedure was performed to 47 patients. Of the patients 29 were male (61.7%) and 18 were female (38.3%). The age of patients ranged between 2 days and 10.5 years (mean age 32.7 ± 38.6 months, median age 12.1 months). Eight of patients were newborn. Pulmonary stenosis types were valvular in 38 patients (80.8%), valvular and supravalvular in 9 patients (19.1%). Three patients (6.4%) had dysplastic valve. Angiographycally measured mean annulus diameter was 10.0 ± 3.5 mm. The mean systolic pressure gradiant at level of pulmonary valve decreased from 78.5 ± 29.6 mmHg to 32.3 ± 16.3 mmHg after valvuloplasty (p< 0.01). No major complication occured during or after the procedure. The mean follow up period was 18.1 ± 20.4 months (range 0.1-64.8 months, median 11.1 months). Surgical procedure was performed to 10 patients (21.3%). Repeat PBV was performed to two patients (4.2%) because of restenosis. Pulmonary insufficiency developed in 12 patients (25.5%) after PBV. None of the patients died during follow up period. Conclusion: PBV is an effective, safe and appropriate method as first therapy option in congenital pulmonary stenosis.