Punch pulmonary valvectomy: another alternative to treat critical pulmonary stenosis.
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.
Milo
S
S
Department of Cardiac Surgery, Rambam Medical Center, Technion-Israel Institute of Technology, Haifa, Israel.
Bar-el
Y
Y
Adler
Z
Z
Halberthal
M
M
Lorber
A
A
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