Transumbilical venous, anterograde, snare-assisted balloon aortic valvuloplasty in a neonate with critical aortic stenosis.
Balloon aortic valvuloplasty is an acceptable alternative to surgery in the treatment of critical aortic stenosis in the neonate. In this report, we describe a 1-day-old infant with critical aortic stenosis who was successfully treated with an anterograde, transumbilical venous, snare-assisted balloon aortic valvuloplasty. Based on this experience, it is suggested that the anterograde transumbilical venous approach is a feasible and effective alternative to retrograde femoral, carotid, or umbilical arterial and transfemoral venous anterograde routes for performing balloon aortic valvuloplasty in the neonate.
Rao
P S
PS
Department of Pediatrics, Saint Louis University School of Medicine/Cardinal Glennon Children's Hospital, Missouri 63104-1095, USA. raops@slu.edu
Jureidini
S B
SB
D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D015150:Echocardiography, Doppler; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D014471:Umbilical Veins