Abstract
Balloon dilatation in infants with severe pulmonary valve stenosis may not be a straightforward procedure once the arterial duct has closed. Balloon dilatation was attempted in three neonates and infants. In an 11 week old infant hypotension and bradycardia developed shortly after a 5 French end hole catheter was passed through the severely stenosed pulmonary valve. An emergency Waterston shunt was subsequently performed, but he died three days later. After this experience the technique was modified so that progressively larger balloons were used for dilatation in two infants, aged one and three weeks, with severe pulmonary valve stenosis in whom the arterial duct had closed. It was successful in both.
Full text
PDF



Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Kan J. S., White R. I., Jr, Mitchell S. E., Anderson J. H., Gardner T. J. Percutaneous transluminal balloon valvuloplasty for pulmonary valve stenosis. Circulation. 1984 Mar;69(3):554–560. doi: 10.1161/01.cir.69.3.554. [DOI] [PubMed] [Google Scholar]
- Kveselis D. A., Rocchini A. P., Snider A. R., Rosenthal A., Crowley D. C., Dick M., 2nd Results of balloon valvuloplasty in the treatment of congenital valvar pulmonary stenosis in children. Am J Cardiol. 1985 Sep 15;56(8):527–532. doi: 10.1016/0002-9149(85)91178-6. [DOI] [PubMed] [Google Scholar]
- Radtke W., Keane J. F., Fellows K. E., Lang P., Lock J. E. Percutaneous balloon valvotomy of congenital pulmonary stenosis using oversized balloons. J Am Coll Cardiol. 1986 Oct;8(4):909–915. doi: 10.1016/s0735-1097(86)80434-x. [DOI] [PubMed] [Google Scholar]
- Rao P. S. Further observations on the effect of balloon size on the short term and intermediate term results of balloon dilatation of the pulmonary valve. Br Heart J. 1988 Dec;60(6):507–511. doi: 10.1136/hrt.60.6.507. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rey C., Marache P., Francart C., Dupuis C. Percutaneous transluminal balloon valvuloplasty of congenital pulmonary valve stenosis, with a special report on infants and neonates. J Am Coll Cardiol. 1988 Apr;11(4):815–820. doi: 10.1016/0735-1097(88)90216-1. [DOI] [PubMed] [Google Scholar]
- Sullivan I. D., Robinson P. J., Macartney F. J., Taylor J. F., Rees P. G., Bull C., Deanfield J. E. Percutaneous balloon valvuloplasty for pulmonary valve stenosis in infants and children. Br Heart J. 1985 Oct;54(4):435–441. doi: 10.1136/hrt.54.4.435. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tynan M., Baker E. J., Rohmer J., Jones O. D., Reidy J. F., Joseph M. C., Ottenkamp J. Percutaneous balloon pulmonary valvuloplasty. Br Heart J. 1985 May;53(5):520–524. doi: 10.1136/hrt.53.5.520. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zeevi B., Keane J. F., Fellows K. E., Lock J. E. Balloon dilation of critical pulmonary stenosis in the first week of life. J Am Coll Cardiol. 1988 Apr;11(4):821–824. doi: 10.1016/0735-1097(88)90217-3. [DOI] [PubMed] [Google Scholar]

