Effects of Percutaneous Balloon Pulmonary Valvuloplasty on Children With Congenital Pulmonic Valvular Stenosis

doi:10.3877/cma.j.issn.1673-5250.2009.04.120

Objective

To explore the clinical effects of percutaneous balloon pulmonary valvuloplasty (PBPV) on the treatment of congenital pulmonary valvular stenosis (PS) in children.

Methods

From March 1996 to December 2006, 16 children were diagnosed as pulmonary valvular stenosis in the First People's Hospital of Zhaoqing and First People's Hospital of Foshan. They were performed by percutaneous balloon pulmonary valvuloplasty using one balloon (n=9) or dual balloon (n=7) according to their age and degrees of pulmonary valvular stenosis.Informed consent was obtained from all participants.

Results

There were remarkable declines in post-ballooning residual transvalvular pressure gradient (ΔP) after the percutaneous balloon pulmonary valvuloplasty on 16 children. There had significant difference between post-ballooning and pre-ballooning in transvalvular pressure gradient (t=4.13, P<0.05).

Conclusion

Percutaneous balloon pulmonary valvuloplasty operation is simple and safe, which should be the first choice for children with pulmonary valvular stenosis.

Key words: pulmonary valve stenosis, balloon dilatation

	1 Kan JS, White RI, Mitchell, et al. Percutaneous balloon valvuloplasty: A new method for treating congenital pulmonary–valve stenosis. N Engl J Med, 1982, 307(9): 54–57.
	2　Yu LH, Gao LF, Liu HP, et al. Clinical observation on patients with PS after percutaneous balloon valvuloplasty. Chin J Cardiolovascul Rev, 2008, 6(7): 533–535.[于连慧，高丽芳，刘和平，等. 经皮球囊肺动脉瓣成形术治疗肺动脉瓣狭窄临床观察. 中国心血管病研究，2008, 6(7): 533–535.]
	3　Li YF, Pan BQ, Xu YM, et al. Clinical effective observation of percutaneous balloon valvuloplasty. Chin J Pediatr, 1997, 35(1): 11–13.[李渝芬，潘宝全，徐衍梅，等．经皮三种球囊肺动脉瓣成形术的疗效观察．中华儿科杂志，1997, 35(1): 11–13.]
	4　Zhou AQ, Jiang SL. A guide to transcathether treatment in congential heart disease. Chin J Pediatr, 2004, 42(3): 235–237.[周爱卿，蒋世良. 先天性心脏病经导管介入治疗指南．中华儿科杂志，2004, 42(3): 235–237.]
	5　Wang SS, Zhang ZW, Xu YM, et al. Percutaneous balloon valvuloplasty with inoue–baloon in 22 children with congential pulmonary valve stenosis. J Appl Clin Pediatr, 2006, 21(13): 861–862.[王树水，张智伟，徐衍梅，等. Inoue球囊肺动脉瓣成形术治疗儿童先天性肺动脉瓣狭窄22例. 实用儿科临床杂志，2006, 21(13): 861–862.]
	6　Jaing TL, Hwang B, Lu JH, et al. Percutaneous balloon valvuloplasty in severe pulmonary valvular stenosis. Angiology, 1995, 46(6): 503–509.
	7　Xia CS, Kang ML, Zhu WH, et al. Percutaneous transluminal balloon pulmonary valvuloplasty using domestic balloon catheter for congenital pulmonary valve stenosis in children. Chin Med J (Enql)，1996, 109(8): 618–621.

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