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Aortic Valve Interventions in Pediatric Patients

Ismail Bouhout1, Papa Salmane Ba1, Ismail El-Hamamsy2

  • 1Cardiovacsular Surgery, CHU Sainte Justine, Montreal, Québec, Canada; Division of Cardiac Surgery, University of Montreal, Montreal, Québec, Canada.

Seminars in Thoracic and Cardiovascular Surgery
|November 5, 2018
PubMed

Insights

Pediatric aortic valve (AV) disease management is complex. This review highlights AV repair

Area of Science:

  • Pediatric Cardiology
  • Cardiovascular Surgery
  • Interventional Cardiology

Background:

  • Aortic valve (AV) disease in pediatric patients presents unique challenges due to lifelong implications.
  • Current evidence on AV interventions in children is evolving, necessitating updated guidance.

Purpose of the Study:

  • To review and synthesize current evidence on aortic valve interventions for pediatric patients.
  • To provide a management algorithm for pediatric AV disease based on contemporary literature.

Main Methods:

  • Comprehensive literature review of pediatric aortic valve interventions.
  • Analysis of comparative data for surgical versus balloon valvuloplasty in neonates.
  • Evaluation of outcomes for aortic valve repair and replacement procedures in children and adolescents.

Main Results:

  • Debate persists regarding optimal intervention for critical aortic stenosis in neonates, with practice variation.
  • Aortic valve repair shows promising early and mid-term results in children and adolescents.
  • The Ross procedure is identified as a preferred AV replacement option due to its benefits.

Conclusions:

  • A management algorithm for pediatric AV disease is proposed based on current evidence.
  • The Ross procedure offers significant advantages for AV replacement in pediatric populations.
  • Continued research is needed to refine treatment strategies for pediatric AV disease.

Keywords:
Aortic valveCongenitalRepairReplacementRoss procedure

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