Percutaneous Balloon Angioplasty in Patients with Congenital Aortic Valvular Stenosis. |
Yong Soo Yun, Chang Yee Hong |
Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea |
선천성 대동맥판협착의 경피적 풍선 성형술 |
윤용수, 홍창의 |
서울대학교 의과대학 소아과학교실 |
Received: 2 June 1988 • Accepted: 2 June 1988 |
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Abstract |
Aortic valve stenosis was relieved by balloon dilatation during cardiac catheterization on 9 children
aged 1 month to 15 years. Aortic valve diameter was estimated by two dimensional echocardiography
to assist in the choice of balloon size. Before dilatation the transaortic systolic pressure gradients
ranged from 60 mmHg to 177 mmHg, (mean: 91 ±38 mmHg). There were signifeant reduction in the
transaortic systolic pressure gradients immediately after balloon dilatation (mean: 38 ±15 mmHg).
There were poor correlation between catheterization measured and Doppler predicted transaortic
systolic pressure gradients. Balloon aortic valvotomy appears to provide good relief of aortic valve
stenosis and to reduce the open heart surgery and morbidity in many cases. |
Key Words:
Aortic stenosis, Balloon valvuloplasty |
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