Closed pulmonary valvulotomy by infl ow occlusion in a 14-day-old infant with pulmonary stenosis

Nazmiye Selcuk Kapısız,

Nazmiye Selcuk Kapısız¹, Hasan Fahri Kapısız¹, Ali Sarıgül¹, Nursel Akalın², Ertan Yücel¹

¹Ankara Dışkapı Eğitim Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Ankara
²Ankara Dışkapı Eğitim Hastanesi, Pediatrik Kardiyoloji Kliniği, Ankara

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Management of critical pulmonary stenosis in young infants includes surgical reconstruction of the right ventricular outflow tract, closed pulmonary valvulotomy, and transcatheter balloon valvuloplasty. A 14-day-old infant with pulmonary stenosis was treated with closed pulmonary valvulotomy with the inflow occlusion procedure. The transvalvular pressure gradient which was 148 mmHg preoperatively decreased to 45 mmHg at the end of one year. This technique is safe and effective in selected cases.

Keywords : Infant, newborn; pulmonary valve stenosis/surgery

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