title: Successful balloon pulmonary valvuloplasty for congenital valvular pulmonary stenosis in an octogenarian.
abstract: 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.
authors.affiliation: Department of Cardiology, Municipal Jen-Ai Hospital, Taipei, Taiwan.
authors.forename: Sir-Chen
authors.initials: SC
authors.lastname: Lin
authors.forename: Chuen-Den
authors.initials: CD
authors.lastname: Tseng
authors.forename: Juey-Jen
authors.initials: JJ
authors.lastname: Huang
authors.forename: Kwan-Lih
authors.initials: KL
authors.lastname: Hsu
authors.forename: Fu-Tien
authors.initials: FT
authors.lastname: Chiang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000379:methods*; D005260:Female; D006801:Humans; D011666:Pulmonary Valve Stenosis / Q000151:congenital* / Q000628:therapy*