Comparative Characteristics of Surgical Treatment and Balloon Aortic Valvuloplasty in Infants with Critical Aortic Stenosis

Critical aortic stenosis (AS) in infants is a complex pathology requiring emergency care. Treatment for such patients is a challenging problem. The methods of treatment include balloon valvuloplasty and open surgical valvuloplasty. The objective of the work is to analyze actual experience of surgi...
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Autor*in:	E. Imanov [verfasserIn] Y. Truba [verfasserIn] I. Dzyurii [verfasserIn] O. Pliska [verfasserIn] V. Lazoryshynets [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch ; Russisch ; Ukrainisch

Erschienen:	2019

Schlagwörter:	aortic stenosis surgical aortic valvuloplasty balloon valvuloplasty infants

Übergeordnetes Werk:	In: Український журнал серцево-судинної хірургії - Professional Edition Eastern Europe, 2020, (2019), 3 (36), Seite 46-50
Übergeordnetes Werk:	year:2019 ; number:3 (36) ; pages:46-50

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.30702/ujcvs/19.36/09(046-050)

Katalog-ID:	DOAJ065725778

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allfields	10.30702/ujcvs/19.36/09(046-050) doi (DE-627)DOAJ065725778 (DE-599)DOAJ1e1e969e791e47afa249f12afac702f5 DE-627 ger DE-627 rakwb eng rus ukr RD1-811 E. Imanov verfasserin aut Comparative Characteristics of Surgical Treatment and Balloon Aortic Valvuloplasty in Infants with Critical Aortic Stenosis 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Critical aortic stenosis (AS) in infants is a complex pathology requiring emergency care. Treatment for such patients is a challenging problem. The methods of treatment include balloon valvuloplasty and open surgical valvuloplasty. The objective of the work is to analyze actual experience of surgical treatment and balloon valvuloplasty of critical aortic stenosis in infants. Materials and methods. For the period from 2006 to 2018, 58 infants with aortic stenosis were treated at the National Amosov Institute of Cardiovascular Surgery. Of these, 47 (81%) patients (Group 1) had balloon valvuloplasty of the aortic stenosis and 11 (19%) patients (Group 2) had surgical treatment. Results and discussion. After balloon valvuloplasty, there was significant reduction in the pressure gradient on the aortic valve in patients of the Group 1, as well as increase in the left ventricular ejection fraction; however, in the medium-term follow-up, the aortic valve pressure gradient increased in most patients, and aortic insufficiency began to increase. After surgical repair, good immediate and medium-term outcomes were observed in terms of the pressure gradient on the aortic valve and the degree of insufficiency. Conclusion. Surgical as well as balloon valvuloplasty are effective methods of AS treatment in infants with good immediate outcomes. The study suggests that balloon valvuloplasty may be an acceptable alternative to surgical treatment in patients in critical condition with signs of severe heart failure, but is associated with the increase in aortic insufficiency in long-term follow-up. aortic stenosis surgical aortic valvuloplasty balloon valvuloplasty infants Surgery Y. Truba verfasserin aut I. Dzyurii verfasserin aut O. Pliska verfasserin aut V. Lazoryshynets verfasserin aut In Український журнал серцево-судинної хірургії Professional Edition Eastern Europe, 2020 (2019), 3 (36), Seite 46-50 (DE-627)1760646040 26645971 nnns year:2019 number:3 (36) pages:46-50 https://doi.org/10.30702/ujcvs/19.36/09(046-050) kostenfrei https://doaj.org/article/1e1e969e791e47afa249f12afac702f5 kostenfrei http://cvs.org.ua/index.php/ujcvs/article/view/300 kostenfrei https://doaj.org/toc/2664-5963 Journal toc kostenfrei https://doaj.org/toc/2664-5971 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 2019 3 (36) 46-50
spelling	10.30702/ujcvs/19.36/09(046-050) doi (DE-627)DOAJ065725778 (DE-599)DOAJ1e1e969e791e47afa249f12afac702f5 DE-627 ger DE-627 rakwb eng rus ukr RD1-811 E. Imanov verfasserin aut Comparative Characteristics of Surgical Treatment and Balloon Aortic Valvuloplasty in Infants with Critical Aortic Stenosis 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Critical aortic stenosis (AS) in infants is a complex pathology requiring emergency care. Treatment for such patients is a challenging problem. The methods of treatment include balloon valvuloplasty and open surgical valvuloplasty. The objective of the work is to analyze actual experience of surgical treatment and balloon valvuloplasty of critical aortic stenosis in infants. Materials and methods. For the period from 2006 to 2018, 58 infants with aortic stenosis were treated at the National Amosov Institute of Cardiovascular Surgery. Of these, 47 (81%) patients (Group 1) had balloon valvuloplasty of the aortic stenosis and 11 (19%) patients (Group 2) had surgical treatment. Results and discussion. After balloon valvuloplasty, there was significant reduction in the pressure gradient on the aortic valve in patients of the Group 1, as well as increase in the left ventricular ejection fraction; however, in the medium-term follow-up, the aortic valve pressure gradient increased in most patients, and aortic insufficiency began to increase. After surgical repair, good immediate and medium-term outcomes were observed in terms of the pressure gradient on the aortic valve and the degree of insufficiency. Conclusion. Surgical as well as balloon valvuloplasty are effective methods of AS treatment in infants with good immediate outcomes. The study suggests that balloon valvuloplasty may be an acceptable alternative to surgical treatment in patients in critical condition with signs of severe heart failure, but is associated with the increase in aortic insufficiency in long-term follow-up. aortic stenosis surgical aortic valvuloplasty balloon valvuloplasty infants Surgery Y. Truba verfasserin aut I. Dzyurii verfasserin aut O. Pliska verfasserin aut V. Lazoryshynets verfasserin aut In Український журнал серцево-судинної хірургії Professional Edition Eastern Europe, 2020 (2019), 3 (36), Seite 46-50 (DE-627)1760646040 26645971 nnns year:2019 number:3 (36) pages:46-50 https://doi.org/10.30702/ujcvs/19.36/09(046-050) kostenfrei https://doaj.org/article/1e1e969e791e47afa249f12afac702f5 kostenfrei http://cvs.org.ua/index.php/ujcvs/article/view/300 kostenfrei https://doaj.org/toc/2664-5963 Journal toc kostenfrei https://doaj.org/toc/2664-5971 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 2019 3 (36) 46-50
allfields_unstemmed	10.30702/ujcvs/19.36/09(046-050) doi (DE-627)DOAJ065725778 (DE-599)DOAJ1e1e969e791e47afa249f12afac702f5 DE-627 ger DE-627 rakwb eng rus ukr RD1-811 E. Imanov verfasserin aut Comparative Characteristics of Surgical Treatment and Balloon Aortic Valvuloplasty in Infants with Critical Aortic Stenosis 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Critical aortic stenosis (AS) in infants is a complex pathology requiring emergency care. Treatment for such patients is a challenging problem. The methods of treatment include balloon valvuloplasty and open surgical valvuloplasty. The objective of the work is to analyze actual experience of surgical treatment and balloon valvuloplasty of critical aortic stenosis in infants. Materials and methods. For the period from 2006 to 2018, 58 infants with aortic stenosis were treated at the National Amosov Institute of Cardiovascular Surgery. Of these, 47 (81%) patients (Group 1) had balloon valvuloplasty of the aortic stenosis and 11 (19%) patients (Group 2) had surgical treatment. Results and discussion. After balloon valvuloplasty, there was significant reduction in the pressure gradient on the aortic valve in patients of the Group 1, as well as increase in the left ventricular ejection fraction; however, in the medium-term follow-up, the aortic valve pressure gradient increased in most patients, and aortic insufficiency began to increase. After surgical repair, good immediate and medium-term outcomes were observed in terms of the pressure gradient on the aortic valve and the degree of insufficiency. Conclusion. Surgical as well as balloon valvuloplasty are effective methods of AS treatment in infants with good immediate outcomes. The study suggests that balloon valvuloplasty may be an acceptable alternative to surgical treatment in patients in critical condition with signs of severe heart failure, but is associated with the increase in aortic insufficiency in long-term follow-up. aortic stenosis surgical aortic valvuloplasty balloon valvuloplasty infants Surgery Y. Truba verfasserin aut I. Dzyurii verfasserin aut O. Pliska verfasserin aut V. Lazoryshynets verfasserin aut In Український журнал серцево-судинної хірургії Professional Edition Eastern Europe, 2020 (2019), 3 (36), Seite 46-50 (DE-627)1760646040 26645971 nnns year:2019 number:3 (36) pages:46-50 https://doi.org/10.30702/ujcvs/19.36/09(046-050) kostenfrei https://doaj.org/article/1e1e969e791e47afa249f12afac702f5 kostenfrei http://cvs.org.ua/index.php/ujcvs/article/view/300 kostenfrei https://doaj.org/toc/2664-5963 Journal toc kostenfrei https://doaj.org/toc/2664-5971 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 2019 3 (36) 46-50
allfieldsGer	10.30702/ujcvs/19.36/09(046-050) doi (DE-627)DOAJ065725778 (DE-599)DOAJ1e1e969e791e47afa249f12afac702f5 DE-627 ger DE-627 rakwb eng rus ukr RD1-811 E. Imanov verfasserin aut Comparative Characteristics of Surgical Treatment and Balloon Aortic Valvuloplasty in Infants with Critical Aortic Stenosis 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Critical aortic stenosis (AS) in infants is a complex pathology requiring emergency care. Treatment for such patients is a challenging problem. The methods of treatment include balloon valvuloplasty and open surgical valvuloplasty. The objective of the work is to analyze actual experience of surgical treatment and balloon valvuloplasty of critical aortic stenosis in infants. Materials and methods. For the period from 2006 to 2018, 58 infants with aortic stenosis were treated at the National Amosov Institute of Cardiovascular Surgery. Of these, 47 (81%) patients (Group 1) had balloon valvuloplasty of the aortic stenosis and 11 (19%) patients (Group 2) had surgical treatment. Results and discussion. After balloon valvuloplasty, there was significant reduction in the pressure gradient on the aortic valve in patients of the Group 1, as well as increase in the left ventricular ejection fraction; however, in the medium-term follow-up, the aortic valve pressure gradient increased in most patients, and aortic insufficiency began to increase. After surgical repair, good immediate and medium-term outcomes were observed in terms of the pressure gradient on the aortic valve and the degree of insufficiency. Conclusion. Surgical as well as balloon valvuloplasty are effective methods of AS treatment in infants with good immediate outcomes. The study suggests that balloon valvuloplasty may be an acceptable alternative to surgical treatment in patients in critical condition with signs of severe heart failure, but is associated with the increase in aortic insufficiency in long-term follow-up. aortic stenosis surgical aortic valvuloplasty balloon valvuloplasty infants Surgery Y. Truba verfasserin aut I. Dzyurii verfasserin aut O. Pliska verfasserin aut V. Lazoryshynets verfasserin aut In Український журнал серцево-судинної хірургії Professional Edition Eastern Europe, 2020 (2019), 3 (36), Seite 46-50 (DE-627)1760646040 26645971 nnns year:2019 number:3 (36) pages:46-50 https://doi.org/10.30702/ujcvs/19.36/09(046-050) kostenfrei https://doaj.org/article/1e1e969e791e47afa249f12afac702f5 kostenfrei http://cvs.org.ua/index.php/ujcvs/article/view/300 kostenfrei https://doaj.org/toc/2664-5963 Journal toc kostenfrei https://doaj.org/toc/2664-5971 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 2019 3 (36) 46-50
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topic_title	RD1-811 Comparative Characteristics of Surgical Treatment and Balloon Aortic Valvuloplasty in Infants with Critical Aortic Stenosis aortic stenosis surgical aortic valvuloplasty balloon valvuloplasty infants
topic	misc RD1-811 misc aortic stenosis misc surgical aortic valvuloplasty misc balloon valvuloplasty misc infants misc Surgery
topic_unstemmed	misc RD1-811 misc aortic stenosis misc surgical aortic valvuloplasty misc balloon valvuloplasty misc infants misc Surgery
topic_browse	misc RD1-811 misc aortic stenosis misc surgical aortic valvuloplasty misc balloon valvuloplasty misc infants misc Surgery
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title	Comparative Characteristics of Surgical Treatment and Balloon Aortic Valvuloplasty in Infants with Critical Aortic Stenosis
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title_full	Comparative Characteristics of Surgical Treatment and Balloon Aortic Valvuloplasty in Infants with Critical Aortic Stenosis
author_sort	E. Imanov
journal	Український журнал серцево-судинної хірургії
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author_browse	E. Imanov Y. Truba I. Dzyurii O. Pliska V. Lazoryshynets
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doi_str_mv	10.30702/ujcvs/19.36/09(046-050)
author2-role	verfasserin
title_sort	comparative characteristics of surgical treatment and balloon aortic valvuloplasty in infants with critical aortic stenosis
callnumber	RD1-811
title_auth	Comparative Characteristics of Surgical Treatment and Balloon Aortic Valvuloplasty in Infants with Critical Aortic Stenosis
abstract	Critical aortic stenosis (AS) in infants is a complex pathology requiring emergency care. Treatment for such patients is a challenging problem. The methods of treatment include balloon valvuloplasty and open surgical valvuloplasty. The objective of the work is to analyze actual experience of surgical treatment and balloon valvuloplasty of critical aortic stenosis in infants. Materials and methods. For the period from 2006 to 2018, 58 infants with aortic stenosis were treated at the National Amosov Institute of Cardiovascular Surgery. Of these, 47 (81%) patients (Group 1) had balloon valvuloplasty of the aortic stenosis and 11 (19%) patients (Group 2) had surgical treatment. Results and discussion. After balloon valvuloplasty, there was significant reduction in the pressure gradient on the aortic valve in patients of the Group 1, as well as increase in the left ventricular ejection fraction; however, in the medium-term follow-up, the aortic valve pressure gradient increased in most patients, and aortic insufficiency began to increase. After surgical repair, good immediate and medium-term outcomes were observed in terms of the pressure gradient on the aortic valve and the degree of insufficiency. Conclusion. Surgical as well as balloon valvuloplasty are effective methods of AS treatment in infants with good immediate outcomes. The study suggests that balloon valvuloplasty may be an acceptable alternative to surgical treatment in patients in critical condition with signs of severe heart failure, but is associated with the increase in aortic insufficiency in long-term follow-up.
abstractGer	Critical aortic stenosis (AS) in infants is a complex pathology requiring emergency care. Treatment for such patients is a challenging problem. The methods of treatment include balloon valvuloplasty and open surgical valvuloplasty. The objective of the work is to analyze actual experience of surgical treatment and balloon valvuloplasty of critical aortic stenosis in infants. Materials and methods. For the period from 2006 to 2018, 58 infants with aortic stenosis were treated at the National Amosov Institute of Cardiovascular Surgery. Of these, 47 (81%) patients (Group 1) had balloon valvuloplasty of the aortic stenosis and 11 (19%) patients (Group 2) had surgical treatment. Results and discussion. After balloon valvuloplasty, there was significant reduction in the pressure gradient on the aortic valve in patients of the Group 1, as well as increase in the left ventricular ejection fraction; however, in the medium-term follow-up, the aortic valve pressure gradient increased in most patients, and aortic insufficiency began to increase. After surgical repair, good immediate and medium-term outcomes were observed in terms of the pressure gradient on the aortic valve and the degree of insufficiency. Conclusion. Surgical as well as balloon valvuloplasty are effective methods of AS treatment in infants with good immediate outcomes. The study suggests that balloon valvuloplasty may be an acceptable alternative to surgical treatment in patients in critical condition with signs of severe heart failure, but is associated with the increase in aortic insufficiency in long-term follow-up.
abstract_unstemmed	Critical aortic stenosis (AS) in infants is a complex pathology requiring emergency care. Treatment for such patients is a challenging problem. The methods of treatment include balloon valvuloplasty and open surgical valvuloplasty. The objective of the work is to analyze actual experience of surgical treatment and balloon valvuloplasty of critical aortic stenosis in infants. Materials and methods. For the period from 2006 to 2018, 58 infants with aortic stenosis were treated at the National Amosov Institute of Cardiovascular Surgery. Of these, 47 (81%) patients (Group 1) had balloon valvuloplasty of the aortic stenosis and 11 (19%) patients (Group 2) had surgical treatment. Results and discussion. After balloon valvuloplasty, there was significant reduction in the pressure gradient on the aortic valve in patients of the Group 1, as well as increase in the left ventricular ejection fraction; however, in the medium-term follow-up, the aortic valve pressure gradient increased in most patients, and aortic insufficiency began to increase. After surgical repair, good immediate and medium-term outcomes were observed in terms of the pressure gradient on the aortic valve and the degree of insufficiency. Conclusion. Surgical as well as balloon valvuloplasty are effective methods of AS treatment in infants with good immediate outcomes. The study suggests that balloon valvuloplasty may be an acceptable alternative to surgical treatment in patients in critical condition with signs of severe heart failure, but is associated with the increase in aortic insufficiency in long-term follow-up.
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title_short	Comparative Characteristics of Surgical Treatment and Balloon Aortic Valvuloplasty in Infants with Critical Aortic Stenosis
url	https://doi.org/10.30702/ujcvs/19.36/09(046-050) https://doaj.org/article/1e1e969e791e47afa249f12afac702f5 http://cvs.org.ua/index.php/ujcvs/article/view/300 https://doaj.org/toc/2664-5963 https://doaj.org/toc/2664-5971
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author2	Y. Truba I. Dzyurii O. Pliska V. Lazoryshynets
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up_date	2024-07-03T16:16:22.048Z
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