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Transapical aortic balloon valvuloplasty in a 6-year-old child with unsuccessful retrograde approach

Published online by Cambridge University Press:  17 April 2012

Ali Baykan*
Affiliation:
Department of Pediatrics and Pediatric Cardiology, Erciyes University Medical Faculty, Kayseri, Turkey
Mustafa Argun
Affiliation:
Department of Pediatrics and Pediatric Cardiology, Erciyes University Medical Faculty, Kayseri, Turkey
Sadettin Sedat Sezer
Affiliation:
Department of Pediatrics and Pediatric Cardiology, Erciyes University Medical Faculty, Kayseri, Turkey
Hakan Ceyran
Affiliation:
Department of Cardiovascular Surgery, Erciyes University Medical Faculty, Kayseri, Turkey
Nazmi Narin
Affiliation:
Department of Pediatrics and Pediatric Cardiology, Erciyes University Medical Faculty, Kayseri, Turkey
*
Correspondence to: Dr A. Baykan, Associate Professor MD, Pediatric Cardiologist, Department of Pediatric Cardiology, Erciyes University Medical Faculty, Kayseri, Turkey. Tel: +90 5333362771; Fax: +90 352 4375825; E-mail: alibaykan@yahoo.com

Abstract

Severely stenotic aortic valves can be treated by percutaneous techniques. However, in rare conditions it could not be possible because of vascular access and valvular passage problems due to small and eccentric orifice. Hybrid approach to balloon aortic valvuloplasty may be considered an alternative to surgery. Here, we present a case of a patient with severe aortic stenosis who has had two failed attempts of percutaneous intervention.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2012

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References

1. Fagan, TE, Ing, FF, Edens, RE, Caldarone, CA, Scholz, TD. Balloon aortic valvuloplasty in a 1,600-gram infant. Cathet Cardiovasc Intervent 2000; 50: 322325.3.0.CO;2-#>CrossRefGoogle Scholar
2. Schmitz, C, Esmailzadeh, B, Herberg, U, et al. Hybrid procedures can reduce the risk of congenital cardiovascular surgery. Eur J Cardiothorac Surg 2008; 34: 718725.CrossRefGoogle ScholarPubMed
3. Bacha, E, Hijazi, ZM, Cao, QL, et al. Hybrid pediatric cardiac surgery. Pediatr Cardiol 2005; 26: 315322.CrossRefGoogle ScholarPubMed
4. Ferry, P. Neurologic sequel of open heart surgery in children. An ‘irritating question’. Am J Dis Child 1990; 144: 369373.CrossRefGoogle Scholar
5. Holzer, RJ, Sisk, M, Philips, A. Hybrid balloon pulmonary valvuloplasty in a 700-g infant: thinking outside the box. Catheter Cardiovasc Interv 2008; 72: 9396.CrossRefGoogle Scholar
6. Maschiettom, N, Vidam, V, Milanesi, O. Transapical aortic balloon valvuloplasty in an 890-gram infant: hybrid is better!. Catheter Cardiovasc Interv 2011; 77: 112114.CrossRefGoogle Scholar
7. McElhinney, DB, Tworetzky, W, Lock, JE. Current status of fetal cardiac intervention. Circulation 2010; 121: 12561263.CrossRefGoogle ScholarPubMed

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