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• W2898888012 endingPage "287" @default.
• W2898888012 startingPage "277" @default.
• W2898888012 abstract "Aortic valve (AV) disease in pediatric patients requires a complex decision process that has an impact on decades of life. The aim of this review is to summarize the current evidence surrounding AV interventions in this patient population. In neonates with critical aortic stenosis, the relative merit of surgical vs balloon valvuloplasty is debated and practices vary depending on centers’ experience with little comparative literature. In children and adolescents, AV repair has regained interest in the last decades with encouraging early and mid-term results. The Ross procedure represents the best AV replacement option as it offers growth potential, excellent hemodynamics, low rates of endocarditis, and thromboembolism without the risks of anticoagulation. Based on contemporary literature, we propose a management algorithm for children AV disease. Aortic valve (AV) disease in pediatric patients requires a complex decision process that has an impact on decades of life. The aim of this review is to summarize the current evidence surrounding AV interventions in this patient population. In neonates with critical aortic stenosis, the relative merit of surgical vs balloon valvuloplasty is debated and practices vary depending on centers’ experience with little comparative literature. In children and adolescents, AV repair has regained interest in the last decades with encouraging early and mid-term results. The Ross procedure represents the best AV replacement option as it offers growth potential, excellent hemodynamics, low rates of endocarditis, and thromboembolism without the risks of anticoagulation. Based on contemporary literature, we propose a management algorithm for children AV disease. Aortic Valve Interventions in Children: Still Only Scratching the SurfaceSeminars in Thoracic and Cardiovascular SurgeryVol. 31Issue 2PreviewIn this issue of the Seminars, Bouhout et al provide a timely and detailed systematic review of aortic valve interventions in pediatric patients.1 Aortic valve disease in children is a chronic disease, which entails multiple operations in most patients. Interventions include balloon valvuloplasty, surgical valvotomy, complex valve reconstructions, and valve replacement using either autologous (Ross) or prosthetic valves. Bouhout et al admirably summarize the available data and evidence, addressing how strategies should evolve depending on the age of the patient. Full-Text PDF" @default.
• W2898888012 created "2018-11-09" @default.
• W2898888012 creator A5024374619 @default.
• W2898888012 creator A5036622149 @default.
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• W2898888012 date "2019-01-01" @default.
• W2898888012 modified "2023-10-13" @default.
• W2898888012 title "Aortic Valve Interventions in Pediatric Patients" @default.
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