[Fetal aortic valvuloplasty in a patient with critical, congenital aortic valve stenosis and severe left ventricular dysfunction].

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  • Additional Information
    • Transliterated Title:
      Valvuloplastica aortica fetale per disfunzione ventricolare sinistra secondaria a stenosi valvolare aortica congenita critica.
    • Source:
      Publisher: Il Pensiero Scientifico Editore Country of Publication: Italy NLM ID: 101263411 Publication Model: Print Cited Medium: Internet ISSN: 1972-6481 (Electronic) Linking ISSN: 18276806 NLM ISO Abbreviation: G Ital Cardiol (Rome) Subsets: MEDLINE
    • Publication Information:
      Publication: Roma : Il Pensiero Scientifico Editore
      Original Publication: Roma : CEPI-AIM Group, [2006]-
    • Subject Terms:
      Aortic Valve Stenosis*/complications ; Aortic Valve Stenosis*/surgery ; Cardiac Surgical Procedures* ; Ventricular Dysfunction, Left*/etiology ; Ventricular Dysfunction, Left*/therapy; Catheterization ; Cesarean Section ; Female ; Humans ; Infant ; Infant, Newborn ; Male ; Pregnancy
    • Abstract:
      We present a case of prenatal diagnosis of critical congenital aortic valve stenosis with progressive systolic left ventricular failure. An ultrasound-guided balloon aortic valvuloplasty was performed at 28 weeks of gestational age because of left ventricular dysfunction associated with signs of fetal heart failure. There were no significant post-procedural complications and the pregnancy was carried to term with elective cesarean section at 38 weeks of gestational age. At birth, an echocardiogram showed severe aortic valve stenosis with global hypokinesia of the left ventricle. Therefore a percutaneous balloon aortic valvuloplasty was repeated through transseptal approach with prompt improvement of the antegrade aortic flow and of the left ventricular systolic function. The baby is currently 2 months old and he is doing fine.
    • Publication Date:
      Date Created: 20220328 Date Completed: 20220331 Latest Revision: 20220401
    • Publication Date:
      20240829
    • Accession Number:
      10.1714/3723.37136
    • Accession Number:
      35343487