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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
16
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pubmed:dateCreated |
1990-11-19
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pubmed:abstractText |
Balloon dilation was performed in 31 patients with congenital left heart obstructions. In 16 patients with aortic stenosis aged 2 days to 16.3 years (mean 10.03 +/- 4.79 years) the peak systolic gradient decreased significantly from 80 +/- 21 mmHg to 23 +/- 13 mmHg immediately after dilation, and remained low at the time of follow up (6 months to 3 years), namely 30 +/- 12 mmHg (p less than 0.0001). Mild aortic regurgitation (I degrees) was already present before the procedure in 56%, increased in 3 patients, and reached haemodynamic significance in 1 (III degrees). Half of the 14 patients with coarctation, aged 2 months to 16.75 years (mean 4.98 +/- 5.15 years), had undergone previous surgery 2 months to 7.9 years before the balloon dilation; coarctation was native in the remainder. Peak systolic gradient across the coarctation site was reduced from 46 +/- 10 mmHg to 5 +/- 5 mmHg, and was 9 +/- 7 mmHg at the time of follow up (6 months-3.6 years) (p less than 0.0001). Aneurysms were not detected. In a 6-year-old girl with congenital mitral stenosis the gradient fell from 13 mmHg to 7 mmHg immediately after the procedure. There were no serious complications. Peripheral arterial lesions required medical or surgical treatment in 16% of cases. Our report suggests that balloon valvuloplasty and angioplasty is a safe and well-tolerated procedure in childhood. It can reduce the gradient in congenital left heart obstructions with good short-term and intermediate-term results.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0043-5325
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
31
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pubmed:volume |
102
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
479-86
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:2145701-Adolescent,
pubmed-meshheading:2145701-Angioplasty, Balloon,
pubmed-meshheading:2145701-Aortic Coarctation,
pubmed-meshheading:2145701-Aortic Valve Stenosis,
pubmed-meshheading:2145701-Balloon Dilation,
pubmed-meshheading:2145701-Child,
pubmed-meshheading:2145701-Child, Preschool,
pubmed-meshheading:2145701-Follow-Up Studies,
pubmed-meshheading:2145701-Heart Defects, Congenital,
pubmed-meshheading:2145701-Humans,
pubmed-meshheading:2145701-Infant,
pubmed-meshheading:2145701-Infant, Newborn,
pubmed-meshheading:2145701-Mitral Valve Stenosis,
pubmed-meshheading:2145701-Ventricular Outflow Obstruction
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pubmed:year |
1990
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pubmed:articleTitle |
[Percutaneous transluminal balloon valvuloplasty and balloon angioplasty in congenital heart defects with left heart obstruction in childhood].
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pubmed:affiliation |
Department für Pädiatrische Kardiologie, Universitäts-Kinderklink, Graz.
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pubmed:publicationType |
Journal Article,
English Abstract
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