The 59th Annual Meeting of Japanese Society of Pediatric Cardiology and Cardiac Surgery

Presentation information

Print

International Panel discussion

International Panel Discussion（II-IPD）
Management of Aortic Valve in Pediatric Patients

Fri. Jul 7, 2023 10:20 AM - 12:00 PM 第1会場 (G3)

Richard G. Ohye（Section of Pediatric Cardiovascular Surgery, Department of Cardiac Surgery, University of Michigan Medical School, USA）, Kisaburo Sakamoto（Department of Cardiovascular Surgery, Shizuoka Children’s Hospital, Japan）

[II-IPD-01] Balloon valvotomy for critical aortic stenosis

○John R. Charpie (Division of Pediatric Cardiology, University of Michigan Medical School, USA)

Optimal initial treatment for congenital aortic valve stenosis (AS) in children remains controversial, with multiple single-center studies reporting on short- and mid-term outcomes following balloon aortic valvuloplasty (BAV) and/or surgical aortic valvotomy (SAV). In 2001, a multicenter study from the Congenital Heart Surgeons Society demonstrated that BAV and SAV had similar reintervention and survival rates in neonates with critical AS selected for biventricular repair. Since that publication, several single-center studies have described long-term outcomes post BAV and SAV suggesting improved outcomes following surgical valve repair. This presentation will review the available literature on outcomes in neonatal critical AS stressing the importance of discriminating between critical and non-critical AS when studying outcomes after treatment during the neonatal period.