title: Punch pulmonary valvectomy: another alternative to treat critical pulmonary stenosis.
abstract: For neonates with severe valvar stenosis, or valvar pulmonary atresia with an imperforate pulmonary valve, we present a simple but effective closed procedure using a specially designed valvectomy punch. Seven neonates, who were not suitable for any type of transcatheter procedure, were treated. There were two late deaths, neither directly related to the operation; 4 patients are developing well. This approach using the valvectomy punch is a fast, safe, and effective procedure.
authors.affiliation: Department of Cardiac Surgery, Rambam Medical Center, Technion-Israel Institute of Technology, Haifa, Israel.
authors.forename: S
authors.initials: S
authors.lastname: Milo
authors.forename: Y
authors.initials: Y
authors.lastname: Bar-el
authors.forename: Z
authors.initials: Z
authors.lastname: Adler
authors.forename: M
authors.initials: M
authors.lastname: Halberthal
authors.forename: A
authors.initials: A
authors.lastname: Lorber
mesh_terms: D006348:Cardiac Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D002404:Catheterization; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011666:Pulmonary Valve Stenosis / Q000503:physiopathology / Q000601:surgery*; D017725:Ventricular Pressure