Combined pulmonary and aortic valve stenosis--prenatal diagnosis and postnatal interventional therapy.
Combined pulmonary and aortic valvar stenosis is an extremely rare congenital anomaly. Fetuses and neonates with critical pulmonary valve stenosis or atresia and intact ventricular septum may present with varying degrees of abnormalities of the right ventricle, tricuspid valve, and coronary arteries, but combination of right and left ventricular outflow tract obstruction is hardly ever seen. Until bilateral balloon valvuloplasty had been established in the neonate, the only therapeutic option was the surgical relief of right and left ventricular obstruction. We highlight the essentials of perinatal management in cases with severe bilateral valvar obstruction and provide a guideline for sequential interventional therapy of this rare lesion.
Herberg
Ulrike
U
Department of Pediatric Cardiology, University of Bonn, Bonn, Germany. ulrike.herberg@ukb.uni-bonn.de
Goltz
Diane
D
Weiss
Henning
H
Gembruch
Ulrich
U
Breuer
Johannes
J
D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D006328:Cardiac Catheterization; D002404:Catheterization; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D019060:Minimally Invasive Surgical Procedures; D018633:Pulmonary Atresia / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D011666:Pulmonary Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal