Balloon Pulmonary Valvuloplasty in patents with Congenital Valvular Pulmonary Stenosis
Journal Title: Nepalese Heart Journal - Year 2012, Vol 9, Issue 1
Abstract
Congenital valvular pulmonary stenosis (PS) accounts for most of the etology of PS, and consttutes about 5 to 10% of all congenital heart disease. Balloon Pulmonary Valvuloplasty has become the choice of treatment for valvular PS since the frst series reported by Kan et al in 19824 and has almost replaced surgical valvotomy in pediatric patents. The purpose of this study was to investgate the immediate results of balloon valvuloplasty in patents with congenital valvular pulmonary stenosis. Method We analyzed hemodynamic data of 122 patents who underwent balloon pulmonary valvuloplasty (ages14days- 50 years mean 25 years). Single-balloon technique was used. Right ventricle systolic pressure and pulmonary valve Peak-to-peak systolic pressure gradient were recorded before and afer balloon dilataton of pulmonary valve. Result Right ventricle systolic pressure decreased from 128±44.9 to 60±24.9 mmHg (p <0.001) and pulmonary valve peak-to-peak systolic pressure gradient decreased from 89±38.6 to 45 ± 22.4 mmHg (p <0.001). No major complicaton or mortality was noted. Conclusion Balloon pulmonary valvuloplasty is a safe and effectve treatment for patents with congenital valvular PS.
Authors and Affiliations
Sharma R| Department of cardiology, Shahid Gangalal Natonal Heart Centre, Kathmandu, Bansbari, Rajbhandari R| Department of cardiology, Shahid Gangalal Natonal Heart Centre, Kathmandu, Bansbari, Limbu Y| Department of cardiology, Shahid Gangalal Natonal Heart Centre, Kathmandu, Bansbari, Singh S| Department of cardiology, Shahid Gangalal Natonal Heart Centre, Kathmandu, Bansbari, Bhat YKD| Department of cardiology, Shahid Gangalal Natonal Heart Centre, Kathmandu, Bansbari, KC MB| Department of cardiology, Shahid Gangalal Natonal Heart Centre, Kathmandu, Bansbari
Keywords
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- EP ID EP15705
- DOI http://dx.doi.org/10.3126/njh.v9i1.8340
- Views 423
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