THE EVALUATION OF LATE OUTCOME OF BALLOON PULMONARY VALVULOPLASTY IN CHILDREN

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NAKHOSTIN DAVARI PARIDOKHT; MORTEZAEIAN LANGROODI HOJAT; GHAEMI HAMID REZA

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Journal: Tehran University Medical Journal Year:2011 | Volume:69 | Issue:8 Page(s): 475-481

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Title

THE EVALUATION OF LATE OUTCOME OF BALLOON PULMONARY VALVULOPLASTY IN CHILDREN

Author(s)

NAKHOSTIN DAVARI PARIDOKHT | MORTEZAEIAN LANGROODI HOJAT | GHAEMI HAMID REZA | Issue Writer Certificate

Keywords

BALLOON PULMONARY VALVULOPLASTYQ2

PROPRANOLOLQ2

PULMONARY STENOSISQ3

Abstract

Background: Isolated pulmonary valve stenosis represents 8-10% of congenital cardiac anomalies. This study was performed to evaluate the late outcomes of BALLOON PULMONARY VALVULOPLASTY (BPV) in children with residual infundibula stenosis.Methods: Seventy-eight patients underwent BPV in Rajaee Heart Center in Tehran Iran, from 2008-2010. The patients were divided into two groups: with and without infundibular stenosis. The group with infundibular stenosis was subdivided into two groups: with and without PROPRANOLOL administration. Gradient measurement follow-ups by Doppler echocardiography were done on the first day and1, 3, 6 and 12 months afterwards.Results: Thirty five (44.9%) patients were male and 43 (55.1%) were female. The mean age of participants was 4.29±3.5 years and the mean weight 16.18±8.8 kg 33 patients (43%) did not show residual infundibular stenosis but 45 (57%) did so in the evaluations.There were no significant differences between the two groups regarding age, weight, sex, kind of balloon valvuplasty, balloon to body surface area ratio and pulmonary regurgitation (PR). PROPRANOLOL was administered to 27 (60%) patients with residual stenosis for six months but18 (40%) did not receive the medication. In both groups, the gradient significantly decreased immediately after BPV (P<0.0001). In the PROPRANOLOL group a constant decrease in residual gradient was seen. There was a significant relationship between balloon to body surface area ratio (387±94 mm2/m2) with moderate to severe PR (P<0.015).Conclusion: BPV is a safe and effective procedure to treat PS. Residual infundibular gradient after BPV decreases over time and PROPRANOLOL helps decrease the gradient.

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APA: Copy

NAKHOSTIN DAVARI, PARIDOKHT, MORTEZAEIAN LANGROODI, HOJAT, & GHAEMI, HAMID REZA. (2011). THE EVALUATION OF LATE OUTCOME OF BALLOON PULMONARY VALVULOPLASTY IN CHILDREN. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 69(8), 475-481. SID. https://sid.ir/paper/39053/en

Vancouver: Copy

NAKHOSTIN DAVARI PARIDOKHT, MORTEZAEIAN LANGROODI HOJAT, GHAEMI HAMID REZA. THE EVALUATION OF LATE OUTCOME OF BALLOON PULMONARY VALVULOPLASTY IN CHILDREN. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2011;69(8):475-481. Available from: https://sid.ir/paper/39053/en

IEEE: Copy

PARIDOKHT NAKHOSTIN DAVARI, HOJAT MORTEZAEIAN LANGROODI, and HAMID REZA GHAEMI, “THE EVALUATION OF LATE OUTCOME OF BALLOON PULMONARY VALVULOPLASTY IN CHILDREN,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 69, no. 8, pp. 475–481, 2011, [Online]. Available: https://sid.ir/paper/39053/en

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