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Valvuloplastía pulmonar con balón, experiencia de 15 años en el Centro Médico Nacional Siglo XXI IMSS
| Content Provider | Semantic Scholar |
|---|---|
| Author | Rodríguez, Mariano Juárez Espinosa, Carlos Alva Velasco, Mariano Ledesma Rodríguez, Gustavo Lázala Arteaga, Santiago Jiménez Soberanes, Agustín Sánchez Cardeña, José Ortegón Gómez, Felipe David González, Martha Serrano, José Antonio Magaña |
| Copyright Year | 2003 |
| Abstract | SummaryB ALLOON PULMONARY VALVULOPLASTY : 15- YEARSEXPERIENCE AT THE CENTRO MEDICO NACIONAL “ SIGLO XXI ”, IMSS Objective: To evaluate 15 years of experience withballoon pulmonary valvuloplasty in a single thirdlevel health care center. Material and methods:Hundred-fifty patients underwent the procedure, 73(48%) men and 77 (52%) women, mean age 10.5± 11.3 years. Results: The initial systolic gradientdecreased from 86 ± 35 to 21.67 ± 12.20 mm Hg,p < 0.001, whereas the initial right ventricular sys-tolic pressure decreased from 106 ± 34-8 to 53 ±27 mm Hg, p < 0.0001. At the end of the follow-up,48 ± 44 months, the systolic gradient was 13.43 ±8.73 mm Hg, p < 0.001. Major complications oc-curred in 9 (6.4%) patients. Immediate technicalsuccess was achieved in 111 (74%) patients andfailure in 39 (26%). At the end of the follow-up pe-riod, successful outcomes were achieved in 104(89.6%); in contrast, failures were present in 12(10.4%) patients, p < 0.001. Death occurred in 2(1.33%) patients. The predictors for failure wereage < 1.5 ± 1-33 years (p < 0.004), dysplastic valve(p < 0.001), high initial systolic gradient (p < 0.002),and high initial systolic right ventricular pressure (p< 0.0001). Conclusion: Balloon pulmonary valvu-loplasty is an effective, safe, and first choice treat-ment for congenital pulmonary valve stenosis.(Arch Cardiol Mex 2003; 73:190-196). |
| Starting Page | 190 |
| Ending Page | 196 |
| Page Count | 7 |
| File Format | PDF HTM / HTML |
| Volume Number | 73 |
| Alternate Webpage(s) | http://www.scielo.org.mx/pdf/acm/v73n3/v73n3a4.pdf |
| Alternate Webpage(s) | http://www.medigraphic.com/pdfs/archi/ac-2003/ac033d.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
