Heart, Lung and Circulation
Volume 15, Issue 1 , Pages 18-23 , February 2006

Neonatal Isolated Critical Aortic Valve Stenosis: Balloon Valvuloplasty or Surgical Valvotomy

  • Zarin Zain, MB, M Med Paeds

      Affiliations

    • Department of Cardiology, Royal Children's Hospital, Murdoch Children's Research Institute, University of Melbourne, Flemington Road, Parkville, Vic. 3052, Melbourne, Australia
  • ,
  • Mariutzka Zadinello, MD

      Affiliations

    • Department of Cardiology, Royal Children's Hospital, Murdoch Children's Research Institute, University of Melbourne, Flemington Road, Parkville, Vic. 3052, Melbourne, Australia
  • ,
  • Samuel Menahem, MD, FRACP, FACC

      Affiliations

    • Department of Cardiology, Royal Children's Hospital, Murdoch Children's Research Institute, University of Melbourne, Flemington Road, Parkville, Vic. 3052, Melbourne, Australia
    • Corresponding Author InformationCorresponding author. Tel.: +61 3 9345 5712; fax: +61 3 9345 6001.
  • ,
  • Christian Brizard, MD

      Affiliations

    • Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia

References 

  1. Rhodes LA, Colan SD, Perry SB, Jonas RA, Sanders SP. Predictors of survival in neonates with critical aortic stenosis. Circulation. 1991;84:2325–2335
  2. Lofland GK, McCrindle BW, Williams WG, Blackstone EH, Tchervenkov CI, Sittiwangkul R, et al. Critical aortic stenosis in the neonate: a multi-institutional study of management, outcomes and risk factors. J Thorac Cardiovasc Surg. 2001;121:10–27
  3. Lambert EC, Canent RV, Hohn AR. Congenital cardiac anomalies in the newborn. A review of conditions causing death or severe distress in the first month of life. Pediatrics. 1966;37:343–351
  4. Karl TR, Sano S, Brawn WJ. Critical aortic stenosis in the first month of life: surgical results in 26 infants. Ann Thorac Surg. 1990;50:105–109
  5. Gildein HP, Kleinert S, Weintraub RG, Wilkinson JL, Karl TR, Mee RB. Surgical commisurotomy of the aortic valve: outcome of open valvotomy in neonates with critical aortic stenosis. Am Heart J. 1996;131:754–759
  6. O’Connor BK, Beekman RH, Rocchini AP, Rosenthal A. Intermediate term effectiveness of balloon valvuloplasty for congenital aortic stenosis: a prospective follow-up study. Circulation. 1991;84:732–738
  7. Bu’Lock FA, Joffe HS, Jordan SC, Martin RP. Balloon dilatation (valvuloplasty) as first line treatment for severe stenois of the aortic valve in early infancy: medium term results and determinants of survival. Br Heart J. 1993;70:535–546
  8. Zeevi B, Keane JF, Castaneda AR, Perry SB, Lock JE. Neonatal critical valvar aortic stenosis: a comparison of surgical and balloon dilatation therapy. Circulation. 1989;80:831–839
  9. Mosca RS, Iannettoni MD, Schwartz SM, Ludomirsky A, Beekman RH, lloyd T, et al. Critical aortic stenosis in the neonate. J Thorac Cardiovasc Surg. 1995;109:147–154
  10. Calhoon JH, Bolton JW. Ross/Konno procedure for critical aortic stenosis in infancy. Ann Thorac Surg. 1995, Dec;60(Suppl):S597–S599
  11. Ilbawi MN, DeLeon SY, Wilson WR, Roberson DA, Husayni TS, Quinones JA, et al. Extended aortic valvuloplasty: a new approach for the management of congenital valvar aortic stenosis. Ann Thorac Surg. 1991;52:663–668
  12. Sink JD, Smallhorn JF, Macartney FJ, Taylor JFN , Stark J, deLeval MR. Management of critical aortic stenosis in infancy. J Thorac Cardiovasc Surg. 1984;87:82–86
  13. Labadi Z, Wu J, Walls JT. Percutaneous balloon aortic valvuloplasty: results in 23 patients. Am J Cardiol. 1984;53:194–197
  14. Kasten-Sportes CH, Piechaud JF, Sidi D, Kachaner J. Percutaneous balloon valvuloplasty in neonates with critical aortic stenosis. J Am Coll Cardiol. 1989;13:1101–1105
  15. Beekman RH, Rocchini AP, Andes A. Balloon valvuloplasty for critical aortic stenosis in the newborn: influence of new catheter technology. J Am Coll Cardiol. 1991;17:1172–1176
  16. Rocchini AP, Beekman RH, Giora BS, Benson L, Schwartz D, Jean SK. Balloon aortic valvuloplasty: results of the valvuloplasty and angioplasty of congenital anomalies registry. Am J Cardiol. 1990;65:784–789
  17. Shaddy RE, Boucek MM, Sturtevant JE, Ruttenberg HD, Orsmond GS. Gradient reduction, aortic valve regurgitation and prolapse after balloon aortic valvuloplasty in 32 consecutive patients with congenital aortic stenosis. J Am Coll Cardiol. 1990;16:451–456
  18. Mocellin R, Sauer U, Simon B, Comazzi M, Sebening F, Buhlmeyer K. Reduced left ventricular size and endocardial fibroelastosis as correlates of mortality in newborns and young infants with severe aortic valve stenosis. Ped Cardiol. 1983;4:265–272
  19. Hawkins JA, Minich LL, Tani LY, Day RW, Judd VE, Shaddy RE, et al. Late results and reintervention after aortic valvotomy for critical aortic stenosis in neonates and infants. Ann Thorac Surg. 1998;65:1758–1763
  20. Solymar L, Sudow G, Berggren H, Erikson B. Balloon dilatation of stenotic aortic valve in children. An intra-operative study. Thorac Cardiovasc Surg. 1992;104:1709–1713
  21. Brierly JJ, Reddy TD, Rigby ML, Thanopoulous V, Redington AN. Traumatic damage to the mitral valve during percutaneous balloon valvuloplasty for critical aortic stenosis. Heart. 1998;79:200–202

 Presented in part at the World Congress of Paediatric Cardiology and Cardiac Surgery, Toronto, May 2001.

PII: S1443-9506(05)00046-6

doi: 10.1016/j.hlc.2005.02.003

Heart, Lung and Circulation
Volume 15, Issue 1 , Pages 18-23 , February 2006