第59回日本小児循環器学会総会・学術集会

講演情報

International Panel discussion

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

2023年7月7日(金) 10:20 〜 12:00 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.