Maad Ullah, Amjad Mehmood. Sajid Ali Shah, Nadeem Sadiq, Mehboob Sultan, Hajra Akbar.
Challenges and outcomes of balloon aortic valvuloplast (BAV) in children.
Pak Heart J Jan ;50(2):79-83.

Objective: This study was aimed to determine acute success and complications,in pediatric patients undergoing balloon aortic valvuloplasty (BAV). Methodology: This cross sectional study consisted of patients with severe aortic valve stenosis underwent aortic valve ballooning from August 2010 to April 2015. All patients had single procedure. Clinical, hemodynamic, and follow-up morbidity and mortality data was collected. Result: A+-total of 81 patients were included with cohort mean age was 90.5 +- 9.8 months. Male to female ratio was 3:1. BAV was performed for symptomatic relief and to gain time for surgical aortic valve replacement. The mean pressure gradient decreased from 80+-6mm of Hg to 25+-7mm of Hg. The mean aortic valve annulus increased from 12+-2mm to 15+-3mm. Serious adverse events occurred in 5 patients (6.17%), death in one child (1.2 %) during procedure,ventricular premature contractions in 3 (3.7 %), bradycardia in 1 (1.2 %) and mortality rate 1 (1.2%). Conclusion: Balloon aortic valvotomy is a rewarding procedure in pediatric age group with good results. This procedure relieves symptoms as well as preserves left ventricular function for future aortic valve replacement.

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