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Vol. 53. Núm. 2.
Páginas 148-150 (agosto 2000)
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Vol. 53. Núm. 2.
Páginas 148-150 (agosto 2000)
Acceso a texto completo
Dilatación intraluminal de la estenosis aórtica crítica y de la coartación de aorta neonatal
Transluminal dilatation for critical aortic stenosis and coarctation of the aorta in a newborn infant
Visitas
8918
F. Benito Bartolomé*
Sección de Hemodinámica. Hospital Materno-Infantil La Paz. Madrid
Este artículo ha recibido
Información del artículo
Resumen

Se presenta el caso de un recién nacido ingresado a los 20 días de vida por insuficiencia cardíaca congestiva gra-ve. El ecocardiograma reveló hipertrofia ventricular iz-quierda con estenosis valvular aórtica crítica y coartación de aorta severa. El diámetro del anillo valvular era de 5,2 mm. En el cateterismo se obtuvo un gradientevalvular de 104 mmHg y de 58 mmHg a través de la coartación, que tenía un diámetro de 1,4 mm.La aorta transversa y el ist-mo presentaban hipoplasia moderada. Tras dos procedi-mientos de dilatación consecutivos,con un intervalo de mes y medio, el gradiente valvular se redujo a 32 mmHg y el de la coartación a 14 mmHg y sdiámetro se incre-mentó a 5,4 mm.

Palabras clave:
Pediatría
Estenosis aórtica
Coartación
Valvulo-plastia

We present a 20-day-old male infant with severe con-gestive heart failur.Echocardiography showed left ven-tricular hypertrophy secondary to critical aortic valve stenosis and severe coarctatio of the aorta. The size of aortic annulus valve was 5.2 mm. At catheterization, the gradient of aortic valve stenosis was 104 mmHgand the gradient through aortic coarctation, measuring 14 mm in diameter, was 58 mmHg. Transverse and isthmic aorta showedmoderate hypoplasia. After two dilatation pro-cedures performed at an interval of 45 days, the pressure valve gradient decreased to 32 mmHg, that of the coarc-tation of the aorta decreased to 14 mmHg and the diame-ter increased to 5.4 mm.

Key words:
Pediatrics
Aortic stenosis
Coarctation
Valvuloplasty
El Texto completo está disponible en PDF
Bibliografía
[1.]
F.A. Bu'Lock, H.S. Joffe, S.C. Jordan, R.P. Martin.
Balloon dilatation(valvuloplasty) as first line treatment for severe stenosis of aortic valve in early infancy: medium term results and detrminants of survival.
Br Heart J, 70 (1993), pp. 546-553
[2.]
J.W. Moore, E.J. Lovett, W.C. Kirby.
Gastrointestinal hemorrhage after combined percutaneous angioplasty of aortic coarctation and valvuloplasty of aortic stenosis in an infant.
Pediatr Car-diol, 14 (1993), pp. 53-55
[3.]
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