Hybrid Palliation as a Bridge to Biventricular Repair in Critical Aortic Stenosis With Coarctation. Ann Thorac Surg 2019 Jun;107(6):e395-e396
Date
11/12/2018Pubmed ID
30414828DOI
10.1016/j.athoracsur.2018.09.051Scopus ID
2-s2.0-85065823382 (requires institutional sign-in at Scopus site) 1 CitationAbstract
Optimal management-balloon dilation versus surgical valvotomy-of neonatal critical aortic stenosis remains controversial. We describe a term neonate with critical aortic stenosis and coarctation, and severe left ventricular dysfunction with endocardial fibroelastosis who underwent palliation with surgical valvotomy and hybrid as a bridge to early biventricular repair. Initial repair consisted of commissurotomy to create bicuspid morphology with placement of bilateral pulmonary artery bands and maintenance of ductal patency with prostaglandin. Left ventricular function improved over the course of 2 weeks, allowing for repeat surgical valvotomy and coarctation repair. The patient was discharged 2 weeks postoperatively with low normal left ventricular function and mild aortic stenosis and regurgitation.
Author List
Handler SS, Buelow M, Bergstrom C, Frommelt PC, Hraska VAuthors
Matthew W. Buelow MD Associate Professor in the Pediatrics department at Medical College of WisconsinPeter C. Frommelt MD Adjunct Professor in the Pediatrics department at Medical College of Wisconsin
Stephanie S. Handler MD Associate Professor in the Pediatrics department at Medical College of Wisconsin
Viktor Hraska MD Professor in the Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Aortic CoarctationAortic Valve Stenosis
Cardiac Surgical Procedures
Critical Illness
Humans
Infant, Newborn
Male