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Percutaneous Balloon Angioplasty in Patients with Congenital Aortic Valvular Stenosis.

Journal of the Korean Pediatric Society 1988;31(7):817-821.
Published online July 31, 1988.
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
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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