Neonatal Ross-Konno operation and endocardial fibroelastosis resection after foetal percutaneous aortic valve balloon valvuloplasty: a complex approach to rescue the left heart
Author(s) -
Carolina Pérez-Negueruela,
Julio Mayol,
Fredy Prada,
José M. Caffarena-Calvar
Publication year - 2014
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1093/ejcts/ezu010
Subject(s) - endocardial fibroelastosis , aortic valvuloplasty , medicine , cardiology , balloon valvuloplasty , ventricle , percutaneous , balloon , stenosis , ventricular outflow tract , aortic valve , surgery , aortic valve stenosis
We report a case of a patient who presented with aortic stenosis and a borderline left ventricle during foetal life. A balloon aortic valve valvuloplasty was performed in uterus, and in the postnatal period for relief of the left ventricular outflow tract obstruction followed by a Ross-Konno procedure with fibroelastosis resection. These successful interventions allowed left ventricular growth and the conversion to a biventricular circulation after a single-stage surgery.
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