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Surgical valvotomy and repair for neonatal and infant congenital aortic stenosis achieves better results than interventional catheterisation

Friday, October 18, 2013

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Source Name: Journal of the American College of Cardiology


Javariah Siddiqui, Christian P. Brizard, John C. Galati, Ajay J. Iyengar, Darren Hutchinson, Igor E. Konstantinov, Gavin R. Wheaton, James M. Ramsay, Yves d’Udekem

This interesting retrospective study compared the long-term results of surgical valvuloplasty and balloon valvuloplasty for congenital aortic stenosis in neonates and infants. During the study period, 86 patients underwent surgical valvuloplasty and 37 patients had a balloon valvuloplasty as first intervention. The two most important factors adversely related to long-term outcomes (including re-stenosis, re-intervention, and regurgitation) on multivariate analysis were having a balloon valvuloplasty as first procedure and undergoing initial treatment as a neonate. Freedom from reintervention at 10 years with surgery was 55% for neonates and 78% for infants. On the contrary, freedom from reintervention at 8 years with balloon valvuloplasty was 15% for neonates and 40% for infants. The authors concluded that despite the retrospective nature of this analysis (and the possibility of bias), surgical valvuloplasty is associated with better long-term outcomes than balloon valvuloplasty.

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