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Open Access Macedonian Journal of Medical Sciences.

http://dx.doi.org/10.3889/oamjms.2015.089

eISSN: 1857-9655

Clinical Science

 

 

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

 

Abstract

 

 

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.
 

..................

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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Google Scholar

- Idrizi S
- Milev I
- Zafirovska P
- Tosheski G
- Zimbakov Z
- Ampova-Sokolov V
- Angjuseva T
- Mitrev Z


PubMed

- Idrizi S
- Milev I
- Zafirovska P
- Tosheski G
- Zimbakov Z
- Ampova-Sokolov V
- Angjuseva T
- Mitrev Z

 

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Publisher: ID Design 2012/DOOEL Skopje, Republic of Macedonia.

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