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Congenital Aortic Valve Stenosis

Gautam K Singh1,2

  • 1Washington University School of Medicine, Department of Pediatrics, Campus Box 8116-NWT, 1 Children's Place, Saint Louis, MO 63110, USA. singh_g@wustl.edu.

Children (Basel, Switzerland)
|May 16, 2019
PubMed

Insights

Congenital aortic valve stenosis in children can cause heart failure or sudden death. Intervention is recommended for symptomatic cases or severe obstruction, often requiring repeat procedures.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Defects
  • Cardiovascular Surgery

Background:

  • Aortic valve stenosis (AVS) is a congenital heart defect.
  • It causes significant left ventricular outflow tract obstruction.
  • AVS has a progressive course, affecting neonates to adolescents.

Purpose of the Study:

  • To summarize the clinical presentation and management of pediatric aortic valve stenosis.
  • To highlight the indications for intervention in children with AVS.
  • To underscore the potential need for reintervention in affected individuals.

Main Methods:

  • Review of existing literature on pediatric aortic valve stenosis.
  • Analysis of clinical outcomes and treatment strategies.
  • Synthesis of data regarding symptomatic presentation and obstruction severity.

Main Results:

  • Neonates and young infants often present with congestive heart failure.
  • Older children may be asymptomatic but face a risk of sudden death.
  • Moderate to severe obstruction necessitates intervention.

Conclusions:

  • Aortic valve stenosis requires timely intervention in pediatric patients.
  • Symptomatic patients or those with severe obstruction benefit from transcatheter or surgical procedures.
  • Long-term follow-up is crucial due to the potential need for reintervention.

Keywords:
balloon aortic valvuloplastycongenital aortic stenosiscongenital heart diseasesurgical aortic valvuloplasty

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