Sajjad Ahmad, Asif-ur Rehman, Deepak Kr Mishra, Babar Pasha.
Balloon pulmonary valvuloplasty in adults with congenital valvular pulmonary stenosis.
J Cardiovascular Dis Jan ;11(1):9-13.

ABSTRACT: BACKGROUND: Balloon valvuloplasty is the standard treatment for congenital valvular : pulmonary stenosis (PS) in pediatric population. The purpose of this study was to investigate the safety and immediate results of balloon valvuloplasty in Pakistani adults with congenital pulmonary valvular stenosis. METHODS: Demographic and hemodynamic data was searched retrospectively from hospital : record for all patients who underwent pulmonary balloon valvuloplasty between 2009 and 2012. Pre procedure echocardiographic findings and per procedure hemodynamic data were noted. RESULTS: Thirty one patients (10 males and 21 females) underwent balloon pulmonary TS: valvuloplasty from 2009 to 2012; mean age 25.65 ± 7.24 years and range 16-47 years. Single balloon technique was used in all patients. Right ventricle Systolic pressure decreased from 142.1 ±47.9 to 74.8 ± 33.4 mmHg and Pulmonary valve peak to peak systolic pressure gradient from 115.8 ± 48.5 to 40.5 ±33.9 mmHg. There was also a significant change in pulmonary artery systolic pressure from 24.5±6.7 to 35.03±11.4 mmHg (P= 0.001). All patients had symptomatic improvement and no major complication or mortality was observed. CONCLUSION: CONCLUSION: Balloon valvuloplasty is a safe and effective treatment for adult patients having CONCLUSION: congenital valvular pulmonary stenosis. KEYWORDS: pulmonary stenosis, balloon valvuloplasty, adult

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