Pediatric Emergency Care and Medicine: Open Access

To Assess the Outcome of Balloon Aortic Valvuloplasty in Children with Special Reference to Dooming Versus Dysplastic Valve

Background: Because of limited available congenital cardiac surgery facilities in country like us, balloon aortic valvuloplasty is the preferred choice of intermediate treatment irrespective of age and valve morphology.

Objective: The objective of this research was to observe the success rate of balloon aortic valvuloplasty in children with special reference to dooming versus dysplastic valve.

Method: A retrospective study with simple random sampling was performed by developing performa and the reliability of performa was verified by using the Cronbach’s Alpha. Performa of all children admitted to angiography department of cardiology, university of child health, Lahore for aortic balloon valvuloplasty was filled from December 2021 for 6 months after ethical committee approval. The data was entered in SPSS version 25 and analyzed for statistically significant outcomes. Descriptive analysis was used, the Chi square test and paired t-test was applied.

Results: A total 54 children upto 15 years with male to female ratio of 2:1 were treated with aortic balloon valvuloplasty. 45 patients were non-dysplastic aortic valve, and 9 patients were dysplastic valve. The pre procedural pullback pressure gradient decreased of 60.37 (SD ± 29.6) mmHg to 24.96 (SD ± 15.4) mmHg. 24 children developed post procedural aortic regurgitation. 11 (45%) are children of less than 1 year of age and 13 (54%) are children of age between 1 to 15 years of age.

Conclusion: It was concluded that aortic balloon valvuloplasty is better option of intermediate treatment in children where there is limited congenital cardiac surgery facilities.

Author(s): Nishat Fatima

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