Long-Term Results of Percutaneous Balloon Aortic Valvuloplasty in Children With Aortic Stenosis: A Single-Center Experience

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dc.authoridDoğan, Eser/0000-0002-0340-7741
dc.contributor.authorDogan, Eser
dc.contributor.authorLevent, Erturk
dc.date.accessioned2024-08-31T07:49:21Z
dc.date.available2024-08-31T07:49:21Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractPurpose: Congenital aortic stenosis is a common pathology in the childhood age group and its clinical spectrum varies between asymptomatic and severe heart failure. In our study, we planned to evaluate the long-term results of patients who underwent balloon aortic valvuloplasty (BAV) due to critical aortic valve stenosis in our clinic. Materials and methods: Patients aged 0-18 years who underwent aortic balloon valvuloplasty due to aortic stenosis in our clinic between January 2002 and January 2022 were retrospectively evaluated. Results: Among the 48 patients who underwent balloon valvuloplasty due to aortic stenosis, 13 (27%) were female, and 35 (73%) were male. The median age at the time of the procedure was 27.5 months (IQR: 4-96), the median weight was 9.9 kg (IQR: 5.40-29.50), and the median height was 79 cm (IQR: 54-133). The median follow-up duration was 93.5 months (IQR: 38-132). Angiographic assessments in all patients revealed a median left ventricular pressure of 160 mmHg (IQR: 140-200) and a median pressure gradient between the left ventricle and the aorta of 60 mmHg (IQR: 42-80). The median balloon diameter used was 10 mm (IQR: 8-12). Post-procedural measurements showed a median mean gradient of 30 mmHg (IQR: 2035) between the left ventricle and the aorta. The procedure was successful in 45 (93.5%) patients. During follow-up, 11 patients required surgical intervention. Ross procedure was performed in five patients, homograft in five patients, and mechanical valve implantation in one patient. Risk factors for the need for surgical intervention were evaluated in detail. During the follow-up, the risk factor for intervention was determined to be aortic insufficiency. Conclusion: Aortic valve balloon valvuloplasty is a safe and successful treatment method for critical aortic stenosis. It should be the first choice of treatment option in suitable patients.en_US
dc.description.sponsorshipEthics Committee of Ege Universityen_US
dc.description.sponsorshipHuman subjects: Consent was obtained or waived by all participants in this study. Ethics Committee of Ege University issued approval 23-11.2T/26. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.en_US
dc.identifier.doi10.7759/cureus.64547
dc.identifier.issn2168-8184
dc.identifier.issue7en_US
dc.identifier.pmid39144912en_US
dc.identifier.urihttps://doi.org/10.7759/cureus.64547
dc.identifier.urihttps://hdl.handle.net/11454/104819
dc.identifier.volume16en_US
dc.identifier.wosWOS:001281643600008en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringernatureen_US
dc.relation.ispartofCureus Journal of Medical Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240831_Uen_US
dc.subjectHeart Failureen_US
dc.subjectPercutanen_US
dc.subjectBalloon Angioplastyen_US
dc.subjectPediatric Cardiologisten_US
dc.subjectCritical Aortic Stenosisen_US
dc.titleLong-Term Results of Percutaneous Balloon Aortic Valvuloplasty in Children With Aortic Stenosis: A Single-Center Experienceen_US
dc.typeArticleen_US

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