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Andrew C Glatz - One of the best experts on this subject based on the ideXlab platform.
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palliative balloon Pulmonary Valvuloplasty for infants with unrestrictive ventricular septal defect or single ventricle associated with severe Pulmonary stenosis
Catheterization and Cardiovascular Interventions, 2015Co-Authors: Ramiro Lizano W Santamaria, Matthew J Gillespie, Yoav Dori, Jonathan J Rome, Andrew C GlatzAbstract:Background Symptomatic infants with unrestrictive ventricular septal defect (VSD) or single ventricle with severe Pulmonary stenosis (PS) are typically treated surgically. High surgical risk infants may benefit from catheter-based palliative Pulmonary Valvuloplasty. Methods We retrospectively reviewed all patients with severe PS associated with unrestrictive VSD or single ventricle who underwent palliative Pulmonary Valvuloplasty as initial management and describe outcomes. Results From 2000 to 2013, 16 patients met inclusion criteria and underwent Valvuloplasty at a median age and weight of 25 (range 1–352) days and 3.65 (range 2.2–12) kg. Common diagnoses included tetralogy of Fallot (50%) and double-outlet right ventricle (25%). In all, the indication was cyanosis. Reasons to defer surgery included low weight (37.5%), preference for complex operation at older age (31.25%) and significant comorbidity (18.75%). Following Valvuloplasty, significant increases in oxygen saturation (83.1 ± 8.8 vs. 74.7 ± 8.7%, P = 0.008) and QP:QS (1.6 ± 0.5 vs. 0.8 ± 0.3, P = 0.0005) occurred. All two ventricle patients (n = 10) ultimately had complete operative repair at a median of 125 (range 27–382) days after Valvuloplasty, during which time there was 20.3 ± 9.2 g/day of weight gain without change in oxygen saturation. Single ventricle patients who underwent cavoPulmonary connection (n = 3) had similar weight gain and palliation time, but with a decrease in oxygen saturation. Two patients required reintervention to augment QP prior to definitive repair. Conclusions In select infants with unrestrictive VSD or single ventricle associated with severe PS, palliative Pulmonary Valvuloplasty provides an effective and durable method of increasing oxygen saturation until definitive surgical treatment can be performed. © 2015 Wiley Periodicals, Inc.
Kiyoshi Hayasaka - One of the best experts on this subject based on the ideXlab platform.
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Balloon Pulmonary Valvuloplasty for Pulmonary Valve Stenosis With Atrial Septal Defect
The American journal of cardiology, 1997Co-Authors: Mitsuru Nakasato, Hiroshi Suzuki, Satoshi Sato, Haruki Komatsu, Kiyoshi HayasakaAbstract:We performed successful balloon Pulmonary Valvuloplasty (BPV) in 6 patients with Pulmonary valve stenosis and atrial septal defect (ASD) accompanied by atrial left-to-right shunt without an increase of shunting immediately after BPV. It suggests that such patients should be treated by BPV initially and the need for ASD repair can be assessed during long-term follow-up.
Mitsuru Nakasato - One of the best experts on this subject based on the ideXlab platform.
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Balloon Pulmonary Valvuloplasty for Pulmonary Valve Stenosis With Atrial Septal Defect
The American journal of cardiology, 1997Co-Authors: Mitsuru Nakasato, Hiroshi Suzuki, Satoshi Sato, Haruki Komatsu, Kiyoshi HayasakaAbstract:We performed successful balloon Pulmonary Valvuloplasty (BPV) in 6 patients with Pulmonary valve stenosis and atrial septal defect (ASD) accompanied by atrial left-to-right shunt without an increase of shunting immediately after BPV. It suggests that such patients should be treated by BPV initially and the need for ASD repair can be assessed during long-term follow-up.
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Balloon Pulmonary Valvuloplasty for double outlet right ventricle with valvular Pulmonary stenosis.
Acta paediatrica Japonica : Overseas edition, 1994Co-Authors: Tomoharu Akiba, Tetsuo Sato, Masaru Yoshikawa, Mitsuru Nakasato, Hiroshi Suzuki, Satoshi SatoAbstract:A male neonate presented with cyanosis. Echocardiograms showed a double outlet right ventricle, an absent outlet septum, a subaortic ventricular septal defect and valvular Pulmonary stenosis. Balloon Pulmonary Valvuloplasty was performed at 19 days of age, resulting in an immediate increase of the systemic arterial oxygen saturation from 67 to 87%. As far as could be found, this is the first report of a patient with a double outlet right ventricle without the outlet septum who was clinically observed and underwent balloon Pulmonary Valvuloplasty.
Hiroshi Suzuki - One of the best experts on this subject based on the ideXlab platform.
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Balloon Pulmonary Valvuloplasty for Pulmonary Valve Stenosis With Atrial Septal Defect
The American journal of cardiology, 1997Co-Authors: Mitsuru Nakasato, Hiroshi Suzuki, Satoshi Sato, Haruki Komatsu, Kiyoshi HayasakaAbstract:We performed successful balloon Pulmonary Valvuloplasty (BPV) in 6 patients with Pulmonary valve stenosis and atrial septal defect (ASD) accompanied by atrial left-to-right shunt without an increase of shunting immediately after BPV. It suggests that such patients should be treated by BPV initially and the need for ASD repair can be assessed during long-term follow-up.
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Balloon Pulmonary Valvuloplasty for double outlet right ventricle with valvular Pulmonary stenosis.
Acta paediatrica Japonica : Overseas edition, 1994Co-Authors: Tomoharu Akiba, Tetsuo Sato, Masaru Yoshikawa, Mitsuru Nakasato, Hiroshi Suzuki, Satoshi SatoAbstract:A male neonate presented with cyanosis. Echocardiograms showed a double outlet right ventricle, an absent outlet septum, a subaortic ventricular septal defect and valvular Pulmonary stenosis. Balloon Pulmonary Valvuloplasty was performed at 19 days of age, resulting in an immediate increase of the systemic arterial oxygen saturation from 67 to 87%. As far as could be found, this is the first report of a patient with a double outlet right ventricle without the outlet septum who was clinically observed and underwent balloon Pulmonary Valvuloplasty.
Satoshi Sato - One of the best experts on this subject based on the ideXlab platform.
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Balloon Pulmonary Valvuloplasty for Pulmonary Valve Stenosis With Atrial Septal Defect
The American journal of cardiology, 1997Co-Authors: Mitsuru Nakasato, Hiroshi Suzuki, Satoshi Sato, Haruki Komatsu, Kiyoshi HayasakaAbstract:We performed successful balloon Pulmonary Valvuloplasty (BPV) in 6 patients with Pulmonary valve stenosis and atrial septal defect (ASD) accompanied by atrial left-to-right shunt without an increase of shunting immediately after BPV. It suggests that such patients should be treated by BPV initially and the need for ASD repair can be assessed during long-term follow-up.
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Balloon Pulmonary Valvuloplasty for double outlet right ventricle with valvular Pulmonary stenosis.
Acta paediatrica Japonica : Overseas edition, 1994Co-Authors: Tomoharu Akiba, Tetsuo Sato, Masaru Yoshikawa, Mitsuru Nakasato, Hiroshi Suzuki, Satoshi SatoAbstract:A male neonate presented with cyanosis. Echocardiograms showed a double outlet right ventricle, an absent outlet septum, a subaortic ventricular septal defect and valvular Pulmonary stenosis. Balloon Pulmonary Valvuloplasty was performed at 19 days of age, resulting in an immediate increase of the systemic arterial oxygen saturation from 67 to 87%. As far as could be found, this is the first report of a patient with a double outlet right ventricle without the outlet septum who was clinically observed and underwent balloon Pulmonary Valvuloplasty.