Open Access Macedonian Journal of Medical Sciences.
http://dx.doi.org/10.3889/oamjms.2015.089
eISSN: 1857-9655
Clinical Science
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Interventional Treatment of
Pulmonary Valve Stenosis: A Single Center Experience
Shpend Idrizi, Ivan Milev, Planinka Zafirovska*,
Goce Tosheski, Zan Zimbakov, Vilma Ampova-Sokolov, Tanja Angjuseva, Zan
Mitrev
Special Hospital for Surgical Diseases “Filip Vtori”, Skopje, Republic of
Macedonia
BACKGROUND: Percutaneous pulmonary valvuloplasty is well established
treatment of choice in pulmonary valve stenosis.
AIM: The aim of our study was to present our experience with the
interventional technique, its immediate and mid-term effectiveness as well
as its complication rate.
MATERIAL AND METHODS: The study included 43 patients, where 33 (74%)
of them were children between the age of 1 month and 15 years. The procedure
was successful in 38 patients or 90%. Mean peak to peak transvalvular
gradient was reduced from 91.2 mmHg (55-150 mmHg) to 39.1 mmHg (20-80 mmHg).
Follow- up of patients was between 2 and 13 years and included
echocardiographic evaluation of pulmonary valve gradient, right heart
dimensions and function as well as assessment of pulmonary regurgitation.
RESULTS: We experienced one major complication pericardial effusion
in a 5 months old child that required pericardiocenthesis. Six patients
(13.9%) required a second intervention. During the follow up period there
was significant improvement of right heart function and echocardiography
parameters. Mild pulmonary regurgitation was noted in 24 (55%) patients, and
four (9%) patients developed moderate regurgitation, without affecting the
function of the right ventricle.
CONCLUSIONS: Percutaneous pulmonary valvuloplasty is an effective
procedure in treatment of pulmonary stenosis with good short and mid-term
results.
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Citation: Idrizi S, Milev I, Zafirovska P,
Tosheski G, Zimbakov Z, Ampova-Sokolov V, Angjuseva T, Mitrev Z.
Interventional Treatment of Pulmonary Valve Stenosis: A Single Center
Experience. OA Maced J Med Sci. http://dx.doi.org/10.3889/oamjms.2015.089
Key words: percutaneous pulmonary valvuloplasty; pulmonary stenosis;
interventional treatment; congenital heart disease; pulmonary regurgitation.
*Correspondence: Dr. Planinka Zafirovska. Special Hospital for
Surgical Diseases "Filip Vtori", Ilindenska 113, Skopje 1000, Republic of
Macedonia. E-Mail: planinka.zafirovska@filipvtori.com
Received: 19-Jul-2015; Revised: 28-Jul-2015; Accepted: 12-Aug-2015; Online
first: 25-Aug-2015
Copyright: © 2015 Shpend Idrizi, Ivan Milev, Planinka Zafirovska,
Goce Tosheski, Zan Zimbakov, Vilma Ampova-Sokolov, Tanja Angjuseva, Zan
Mitrev.
This is an open access article distributed under the terms of the Creative
Commons Attribution License, which permits unrestricted use, distribution,
and reproduction in any medium, provided the original author and source are
credited.
Competing Interests: The authors have declared that no competing
interests exist.
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Idrizi S
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Milev I
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Zafirovska P
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Tosheski G
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Zimbakov Z
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Ampova-Sokolov V
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Angjuseva T
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Mitrev Z
PubMed
- Idrizi S
- Milev I
- Zafirovska P
- Tosheski G
- Zimbakov Z
- Ampova-Sokolov V
- Angjuseva T
- Mitrev Z
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