Pediatric Heart Expert Forum
Are there any advanced Catheterization Procedures?
About This Forum:

Questions in this forum are answered by pediatric cardiologists, cardiothoracic surgeons and anesthesiologists from The Children's Hospital of Philadelphia. This forum is for questions and support about pediatric heart problems, symptoms and topics such as heart murmurs, palpitations, fainting, chest pain, congenital heart defects (including management and intervention), fetal cardiology, adult congenital cardiology, arrhythmias and pre-participation athletic screening.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Avatar universal
Are there any advanced Catheterization Procedures?
My son has aortic stenosis and aortic regurgitation.  We are currently discussing the balloon catheterization procedure.  My son has a tricuspid valve but two of the leaflets are fused together.  It is my understanding that the best thing that could happen is the balloon would tear where it is fused together because there would be less regurgitation after.  However, there is no way to control where it tears.  Are there any advanced cath procedures where you can control the tear?
Discussion is closed
Cancel
3 Answers
Page 1 of 1
773655 tn?1340656399
Dear Matteos_Mom: Balloon valvuloplasty procedures for aortic stenosis are commonly performed by pediatric interventional catheterization specialists.  At cardiac catheterization, they measure the amount of blockage (stenosis) across the valve at rest, and also determine how much leakage is present by taking an angiogram (picture using contrast material).  It is only then that the doctor makes a final decision as to whether an intervention will be performed.  You have been appropriately informed that there is no way to control where a valve will be opened when a balloon valvuloplasty is performed. The doctors measure the size of the aortic valve ring (annulus) and use that information in choosing the size of balloon catheter to use, in order to minimize the risk of tearing the valve excessively.   There are no other techniques that currently exist that can impact on that, and so, the risk for a significant amount of valve leakage still accompanies these interventional procedures.  It is important to note that you do not state how much valve leakage is currently present in your son’s valve. If it is already significant prior to an intervention, then a balloon procedure would not be indicated.

Open heart surgery with either surgical valvuloplasty or valve replacement are other alternative treatments that currently exist for our pediatric patients with combined aortic stenosis and regurgitation of a significant degree.
Discussion is closed
Cancel
Comment
Avatar universal
Dear Dr. Gleason,

Thank you for your advice.  Everything you wrote coincides with the information my son's doctor gave us.  I appreciate being able to get a quick second opinion like this.  I have three kids, aged 3 & under and it's not easy to go to the doctor's office!

Sincerely,
Matteo's Mom
Discussion is closed
Cancel
Comment
Avatar universal
A related discussion, Echo report was started.
Discussion is closed
Cancel
Comment
A
A
Blank
Request an Appointment
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1463449675
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank