Successful balloon pulmonary valvuloplasty for congenital valvular pulmonary stenosis in an octogenarian.
While balloon valvuloplasty has been widely used for the treatment of congenital valvular pulmonary stenosis (PS) in children and adults, its use in elderly patients is less common. An 80-year-old woman with congenital valvular PS received valvuloplasty with double-balloon technique. Right ventricle systolic pressure and pulmonary valve systolic pressure gradient decreased from 95 to 44 mm Hg and from 75 to 35 mm Hg, respectively. Follow-up Doppler echocardiography 2 months later showed further decrease in the transvalvular systolic pressure gradient to 29 mm Hg. The patient had symptomatic relief, and no major complication was noted. Balloon pulmonary valvuloplasty can be an effective treatment for elderly patients with congenital valvular PS.
Lin
Sir-Chen
SC
Department of Cardiology, Municipal Jen-Ai Hospital, Taipei, Taiwan.
Tseng
Chuen-Den
CD
Huang
Juey-Jen
JJ
Hsu
Kwan-Lih
KL
Chiang
Fu-Tien
FT
D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000379:methods*; D005260:Female; D006801:Humans; D011666:Pulmonary Valve Stenosis / Q000151:congenital* / Q000628:therapy*