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Percutaneous transluminal balloon valvuloplasty for congenital pulmonary valvular stenosis.

Journal of the Korean Pediatric Society 1991;34(3):311-316.
Published online March 31, 1991.
Percutaneous transluminal balloon valvuloplasty for congenital pulmonary valvular stenosis.
Sung Min Choi1, Sang Bum Lee1, Doo Hong Ahn1, Yong Joo Kim2
1Department of Pediatrics, School of Medicine, Kyungpook National University, Taegu, Korea
2Department of Radiology, School of Medicine, Kyungpook National University, Taegu, Korea
선천성 폐동맥판 협착의 경피적 풍선 판막성형술
최성민1, 이상범1, 안두홍1, 김용주2
1경북대학교 의학대학 소아과학교실
2경북대학교 의학대학 방사선과학교실
Received: 23 January 1991   • Accepted: 20 February 1991
Abstract
Congenital pulmonary valvular stenosis was relieved by percutaneous balloon valvuloplasty during cardiac catheterization on 8 children aged 14 months to 8 years. Before dilatation, the transpulmonary systolic pressure gradients ranged from 33 mmHg to 79 mmHg (Mean:52.00 ± 18.16 mmHg). There were significant reduction in the transpulmonic systolic pressure gradients immediate after balloon dilatation (Mean:17.38±11.16mmHg). In follow up 4 patients, this decreased pressure gradients have maintained with mean late residual pressure gradi- ents of 13.75± 10.52 mmHg by Doppler echocardiography. In conclusion, balloon pulmonary valvuloplasty appears to provide good relief of pulmonary valvular stenosis and may be considered the treatment of choice in congenital pulmonary valvular stenosis.
Key Words: Balloon valvuloplasty, Pulmonary valvular stenosis


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