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Pulmonary valve cusp augmentation for pulmonary regurgitation after percutaneous balloon pulmonary valvuloplasty of valvular pulmonary stenosis

Part of: Surgery

Published online by Cambridge University Press:  08 January 2018

Irfan Tasoglu ,
Atakan Atalay ,
Omer Nuri Aksoy  and
Vural Polat
Irfan Tasoglu
Affiliation:
Turkiye Yuksek Ihtisas Research and Training Hospital, Department of Pediatric Cardiovascular Surgery, Ankara, Turkey
Atakan Atalay*
Affiliation:
Turkiye Yuksek Ihtisas Research and Training Hospital, Department of Pediatric Cardiovascular Surgery, Ankara, Turkey
Omer Nuri Aksoy
Affiliation:
Turkiye Yuksek Ihtisas Research and Training Hospital, Department of Pediatric Cardiovascular Surgery, Ankara, Turkey
Vural Polat
Affiliation:
Turkiye Yuksek Ihtisas Research and Training Hospital, Department of Pediatric Cardiovascular Surgery, Ankara, Turkey
*
Correspondence to: A. Atalay, MD, Turkey Yuksek Ihtisas Hospital, Ankara 06460, Turkey. Tel: +90 5053593390; Fax: +90 312 306 10 00; E-mail: [email protected]
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Abstract

Pulmonary valvular stenosis is a relatively common disorder, accounting for approximately 10% of all CHDs. Pulmonic valvular disease can get clinically detected at different ages of life. The more severe the obstruction, the earlier detected the valvular abnormality. Surgical pulmonary valvotomy has been available as a treatment since 1956. This article is about a case of pulmonary annular and valvular stenosis in a 1-year-old child, and it also explores surgical operation of this condition. Transannular patches are usually used within the 1st year of age in pulmonary annular and valvular stenosis. In recent years, anterior leaflet augmentation has been preferred for annulus enlargements. In our 1-year-old case, we expanded the annulus by the anterior leaflet expansion technique and we also augmented other leaflets by polytetrafluoroethylene patch.

Keywords

Pulmonary valve stenosisaugmentationrepair
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 3 , March 2018 , pp. 507 - 510
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Copyright
© Cambridge University Press 2018 

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References

1. Moss, AJ, Adams, FH. Heart Disease in Infants, Children, and Adolescents: Including the Fetus and Young Adults, 7th edn. Lippincott Williams & Wilkins, Philadelphia, PA, 2008.Google Scholar
2. Kan, JS, White, RI, Mitchell, WE, Andersen, JH, Gardner, TJ. Percutaneous transluminal balloon valvuloplasty for pulmonary valve stenosis. Circulation 1984; 69: 554–560.Google Scholar
3. Brock, R. The surgical treatment of pulmonary stenosis. Br Heart J 1961; 23: 337–356.Google Scholar
4. Yadav, SK. The diagnosis and treatment of pulmonary valve stenosis in children. Asian Journal of Medical Sciences. DOI: 10.3126/ajms.v6i6.12017.CrossRefGoogle Scholar
5. Rubio-Alvarez, V, Limon, R, Soni, J. Intracardiac valvulotomy by means of a catheter. Arch Inst Cardiol Mex 1953; 23: 183–192.Google Scholar
6. Rubio, V, Limon-Lason, R. Treatment of pulmonary valvular stenosis and tricuspid stenosis using a modified catheter. 2nd World Congress of Cardiology, Washington, DC, 1954.Google Scholar
7. Rao, PS. Percutaneous balloon pulmonary valvuloplasty: state of the art. Catheter Cardiovasc Interv 2007; 69: 747–763.CrossRefGoogle ScholarPubMed
8. Stanger, P, Cassidy, SC, Girod, DA, Kan, JS, Lababidi, Z, et al. Balloon pulmonary valvuloplasty: results of the Valvuloplasty and Angioplasty of Congenital Anomalies Registry. Am J Cardiol 1990; 65: 775–783.Google Scholar
9. Karagoz, T, Asoh, K, Hickey, E, Chaturvedi, R, Lee, KJ, et al. Balloon dilation of pulmonary valve stenosis in infants less than 3 kg: a 20-year experience. Catheter Cardiovasc Interv 2009; 74: 753–761.Google Scholar
10. Rao, PS, Galal, O, Patnana, M, Buck, SH, Wilson, AD. Results of three to 10 year follow up of balloon dilatation of the pulmonary valve. Heart 1998; 80: 591–595.Google Scholar
11. Hayes, CJ, Gersony, WM, Driscoll, DJ, Keane, JF, Kidd, L, et al. Second natural history study of congenital heart defects. Results of treatment of patients with pulmonary valvar stenosis. Circulation 1993; 87: 28–37.Google Scholar
12. Nugent, EW, Freedom, RM, Nora, JJ, Ellison, RC, Rowe, RD, et al. Clinical course in pulmonary stenosis. Circulation 1977; 56: 38–47.Google Scholar
13. Sano, S, Karl, TR, Mee, RB. Extracardiac valved conduits in the pulmonary circuit. Ann Thorac Surg 1991; 52: 285–290.CrossRefGoogle ScholarPubMed
14. Homann, M, Haehnel, JC, Mendler, N, et al. Reconstruction of the RVOT with valved biological conduits: 25 years experience with allografts and xenografts. Eur J Cardiothorac Surg 2000; 17: 624–630.CrossRefGoogle ScholarPubMed
15. Gundry, SR, Razzouk, AJ, Boskind, JF, Bansal, R, Bailey, LL. Fate of the pericardial monocusp pulmonary valve for right ventricular outflow tract reconstruction: Early function, late failure without obstruction. J Thorac Cardiovasc Surg 1994; 107: 908–912.Google Scholar
16. Sasikumar, D, Sasidharan, B, Tharakan, JA, Dharan, BS, Mathew, T, Karunakaran, J. Early and 1-year outcome and predictors of adverse outcome following monocusp pulmonary valve reconstruction for patients with tetralogy of Fallot: a prospective observational study. Ann Pediatr Cardiol 2014; 7: 5–12.Google Scholar
17. Nunn, GR, Bennetts, J, Onikul, E. Durability of hand-sewn valves in the right ventricular outlet. J Thorac Cardiovasc Surg 2008; 136: 290–296.CrossRefGoogle ScholarPubMed