Pulmonary valve balloon valvuloplasty compared across three age groups of children

The aim of this study was to investigate the characteristics and outcomes of treating pulmonary stenosis with percutaneous valvuloplasty, and to compare them among three childhood age groups. All children under 15 years of age who had undergone pulmonary valve balloon valvuloplasty in Madani Heart Center from 2005–2009 were enrolled in this study. Data were analyzed using IBM SPSS software (SPSS, Inc, Chicago, IL). Mean (± standard deviation) age of patients was 55.5 ± 47.4 months. Two-thirds of the subjects had moderate pulmonary valve stenosis. Balloon valvuloplasty failed in nearly one-fifth of the treated patients. There were 17 failures and two cases of mortality, descriptively less frequent among children >5 years; however, the observed difference was not statistically significant. Mild pulmonary valve insufficiency was a common finding.

[1]  P. Weryński,et al.  Percutaneous balloon valvuloplasty for the treatment of pulmonary valve stenosis in children - a single centre experience. , 2009, Kardiologia polska.

[2]  C. Ozbakir,et al.  Sympathetic Overactivity in Patients with Pulmonary Stenosis and Improvement after Percutaneous Balloon Valvuloplasty , 2008, Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc.

[3]  R. Holzer,et al.  Hybrid balloon pulmonary valvuloplasty in a 700‐g infant: Thinking outside the box , 2008, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[4]  M. Fawzy,et al.  Long-term results (up to 17 years) of pulmonary balloon valvuloplasty in adults and its effects on concomitant severe infundibular stenosis and tricuspid regurgitation. , 2007, American heart journal.

[5]  B. Semb,et al.  “Balloon valvulotomy” of congenital pulmonary valve stenosis with tricuspid valve insufficiency , 1979, Cardiovascular radiology.

[6]  M. Demkow,et al.  Pulmonary artery dissection: a rare complication of pulmonary balloon valvuloplasty diagnosed 11 years after the procedure. , 2006, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[7]  M. Simoons,et al.  Long-term outcome after surgery for pulmonary stenosis (a longitudinal study of 22-33 years). , 2006, European heart journal.

[8]  E. Meijboom,et al.  Comparative long-term results of surgery versus balloon valvuloplasty for pulmonary valve stenosis in infants and children. , 2003, The Annals of thoracic surgery.

[9]  S. Buck,et al.  Results of three to 10 year follow up of balloon dilatation of the pulmonary valve , 1998, Heart.

[10]  R. Beekman,et al.  Balloon valvuloplasty for pulmonary valve stenosis. , 1995, Journal of interventional cardiology.

[11]  K. Horike,et al.  [A rare complication of catheter balloon valvuloplasty of pulmonary stenosis--a case report]. , 1995, [Zasshi] [Journal]. Nihon Kyobu Geka Gakkai.

[12]  B. McCrindle Independent predictors of long-term results after balloon pulmonary valvuloplasty. Valvuloplasty and Angioplasty of Congenital Anomalies (VACA) Registry Investigators. , 1994, Circulation.

[13]  P. Rao Balloon pulmonary valvuloplasty: A Review , 1989, Clinical cardiology.

[14]  T. Gardner,et al.  Percutaneous balloon valvuloplasty: a new method for treating congenital pulmonary-valve stenosis. , 1982, The New England journal of medicine.