HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Robert M. Sade Fred A. Crawford Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Sade, R. M. Articles by Hohn, A. R. Search for Related Content PubMed PubMed Citation Articles by Sade, R. M. Articles by Hohn, A. R.

Ann Thorac Surg 1982;33:570-575
© 1982 The Society of Thoracic Surgeons

---

Articles

Inflow Occlusion for Semilunar Valve Stenosis

From the Divisions of Cardiothoracic Surgery and Pediatric Cardiology, Medical University of South Carolina, 171 Ashley Ave, Charleston, SC 29425

Twenty-nine patients have had valvotomy with inflow occlusion since 1975 at our institution: 7 for aortic stenosis and 22 for pulmonary stenosis. All patients with aortic stenosis and 11 with pulmonary stenosis were neonates. Six patients died, 3 with aortic stenosis and 3 with pulmonary stenosis. All of them were less than 2 days old. Two newborns with critical pulmonary stenosis required reoperation with an outflow patch at age 22 and 25 months.

To determine morbidity and expense of inflow occlusion versus cardiopulmonary bypass for patients with pulmonary stenosis, we compared the 11 patients who were not infants and who had inflow occlusion (age range, 3.5 to 26.8 years) with 10 patients who were operated on concurrently and who required bypass to correct associated minor intracardiac lesions (age range, 2.6 to 26.4 years). Significant differences (p < 0.01) were as follows (inflow occlusion versus bypass): operating room time, 2.0 ± 0.4 versus 3.6 ± 0.8 hours (mean ± standard deviation); blood utilized, 0.3 ± 0.5 versus 1.7 ± 1.7 units; and total expense, $4,600 ± 800 versus $7,000 ± 1,600. Thus, inflow occlusion is safe in patients more than 2 days old, with early and late results similar to bypass, and is an attractive alternative for patients with isolated pulmonary valvular stenosis and for newborns with aortic stenosis.

This article has been cited by other articles:

				C. Mavroudis and R. M. Sade The Southern Thoracic Surgical Association 50th anniversary celebration: the impact of STSA pediatric cardiothoracic surgery manuscripts on surgical practice Ann. Thorac. Surg., November 1, 2003; 76(90050): S47 - 67. [Abstract] [Full Text] [PDF]

				J. W. Hammon Jr Surgical treatment of left ventricular outflow obstruction in the neonate: Profound hypothermia and circulatory arrest Ann. Thorac. Surg., October 1, 1994; 58(4): 1274 - 1277. [Abstract] [PDF]

				J. W. Hammon Jr., F. M. Lupinetti, M. D. Maples, W. H. Merrill, W. H. Frist, T. P. Graham Jr., and H. W. Bender Jr. Predictors of Operative Mortality in Critical Valvular Aortic Stenosis Presenting in Infancy Ann. Thorac. Surg., May 1, 1988; 45(5): 537 - 540. [Abstract] [PDF]

				J. W. Brown, L. S. Stevens, S. Holly, R. Robison, M. Rodefeld, T. Grayson, B. Marts, R. A. Caldwell, R. A. Hurwitz, D. A. Girod, et al. Surgical spectrum of aortic stenosis in children: A thirty-year experience with 257 children Ann. Thorac. Surg., April 1, 1988; 45(4): 393 - 403. [Abstract] [PDF]

				D. B. Polansky, E. B. Clark, and D. B. Doty Pulmonary Stenosis in Infants and Young Children Ann. Thorac. Surg., February 1, 1985; 39(2): 159 - 164. [Abstract] [PDF]

				J. G. Coles, R. M. Freedom, P. M. Olley, F. Coceani, W. G. Williams, and G. A. Trusler Surgical Management of Critical Pulmonary Stenosis in the Neonate Ann. Thorac. Surg., November 1, 1984; 38(5): 458 - 465. [Abstract] [PDF]