Balloon Aortic Valvuloplasty

Agu, Ngozi; Rao, P. Syamasundar

doi:10.4172/2161-0665.s5-004

Cited by 7 publications

(47 citation statements)

References 62 publications

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“…Lababidi was also the first investigator to use this technique to the neonate with critical aortic valve stenosis [15]. Subsequently, a large number of papers on acute and medium-term follow-up results of balloon aortic valvuloplasty, extensively referenced elsewhere [1,[16][17][18][19][20], were published. The author's group was among the first to examine causes of restenosis after balloon aortic valvuloplasty [20] and call attention to the development of aortic insufficiency during follow-up [17].…”

Section: Historical Aspectsmentioning

confidence: 99%

Role of Balloon Aortic Valvuloplasty in the Management of Aortic Stenosis

Rao¹

2021

JCCI

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Balloon aortic valvuloplasty (BAV) provides an excellent alternative to surgical intervention and has become the preferred intervention for initial palliation for aortic stenosis in neonates, infants, children, adolescents, and young adults. The elderly patients with calcific aortic stenosis do not benefit from BAV. With the exception of neonates, most patients can be discharged home within 24-hours of the procedure. Although there is definitive evidence for pressure gradient relief immediately after as well as at follow-up and postponement of surgical intervention following BAV, the progression of aortic insufficiency at late follow up remain a major concern. In the neonatal population, severe aortic insufficiency may develop requiring surgical intervention. Despite these limitations, balloon aortic valvuloplasty is currently considered as therapeutic procedure of choice in the management of congenital aortic stenosis in the pediatric and young adult population. Careful follow-up to detect recurrence of stenosis and development of significant aortic insufficiency is recommended.

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Section: Historical Aspectsmentioning

confidence: 99%

Role of Balloon Aortic Valvuloplasty in the Management of Aortic Stenosis

Rao¹

2021

JCCI

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“…Since the introduction of balloon valvuloplasty for valvar aortic stenosis in 1983, it has been used as a first therapeutic procedure for relief of aortic valve obstruction. Detailed description of the procedure of balloon valvuloplasty is beyond the scope of this paper, but is described elsewhere [29,30,31]. In brief, a balloon valvuloplasty catheter is positioned across the aortic valve and the balloon is inflated (Figure 3); the radial forces of balloon inflation produce disruption of valve leaflet fusion causing relief of aortic valve obstruction.…”

Section: Aortic Stenosismentioning

confidence: 99%

“…Sometimes, it is difficult to maintain the balloon across the aortic valve during balloon aortic valvuloplasty. In such situation, use of extra-stiff wires, longer balloons, double balloon technique, adenosine administration to produce cardiac standstill, and overdrive pacing have been used to accomplish a successful procedure [29,30,31]. In the author’s personal experience use of extra-stiff wires and longer balloons was helpful in carrying out the procedure with occasional need for overdrive pacing.…”

Section: Aortic Stenosismentioning

confidence: 99%

“…In the author’s personal experience use of extra-stiff wires and longer balloons was helpful in carrying out the procedure with occasional need for overdrive pacing. Since balloon aortic valvuloplasty is successful in most cases (Figure 4) [29,30,31,32], surgery is reserved for unsuccessful balloon cases and to address complications of balloon aortic valvuloplasty. Neonates with unicuspid aortic valves are also candidates for surgery.…”

Section: Aortic Stenosismentioning

confidence: 99%

“…Recurrence of aortic stenosis and development of aortic insufficiency after balloon aortic valvuloplasty at late follow-up is well documented [31,32,33]. Repeat balloon aortic valvuloplasty, surgical valvotomy, or valve replacement may be required in the future in some of these patients to adequately address residual aortic stenosis and/or insufficiency.…”

Section: Aortic Stenosismentioning

confidence: 99%

See 2 more Smart Citations

Management of Congenital Heart Disease: State of the Art; Part I—ACYANOTIC Heart Defects

Rao

2019

Children

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Since the description of surgery for patent ductus arteriosus in late 1930s, an innumerable number of advances have taken place in the management of congenital heart defects (CHDs). In this review the current status of treatment of seven of the most common acyanotic CHDs was reviewed. The discussion included indications for, and timing of, intervention and methods of intervention. The indications are, by and large, determined by the severity of the lesion. Pressure gradients in obstructive lesions and the magnitude of the shunt in left-to-right shunt lesions are used to assess the severity of the lesion. The timing of intervention is different for each lesion and largely dependent upon when the criteria for indications for intervention were met. Appropriate medical management is necessary in most patients. Trans-catheter methods are preferable in some defects while surgery is a better option in some other defects. The currently available medical, trans-catheter, and surgical methods to treat acyanotic CHD are feasible, safe, and effective.

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Balloon Dilatation in the Management of Congenital Obstructive Lesions of the Heart: Review of Author’s Experiences and Observations – Part II

Rao¹

2023

Preprint

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While investigating the outcomes of balloon dilatation procedures in patients with congenital obstructive lesions of the heart, several parallel observations have been made. The purpose of this review is to present these observations/phenomena/innovations related to balloon dilatation of pulmonary stenosis (PS), aortic stenosis (AS), and aortic coarctation (AC). In subjects who had balloon pulmonary valvuloplasty (BPV), development of infundibular obstruction, electrocardiographic (ECG) changes, changes in right ventricular filling, role of balloon/annulus ratios on the results of BPV, and double balloon vs. single balloon BPV will be reviewed. In patients who had balloon aortic valvuloplasty (BAV), causes of aortic insufficiency and trans-umbilical venous approach for BAV will be tackled. In children who had balloon angioplasty (BA) of AC, aortic remodeling and biophysical response after BA of AC will be discussed.

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Balloon Aortic Valvuloplasty

Cited by 7 publications

References 62 publications

Role of Balloon Aortic Valvuloplasty in the Management of Aortic Stenosis

Role of Balloon Aortic Valvuloplasty in the Management of Aortic Stenosis

Management of Congenital Heart Disease: State of the Art; Part I—ACYANOTIC Heart Defects

Balloon Dilatation in the Management of Congenital Obstructive Lesions of the Heart: Review of Author’s Experiences and Observations – Part II

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