The Annals of Thoracic Surgery, Vol 34, 46-50, Copyright © 1982 by The Society of Thoracic Surgeons
Critical pulmonary stenosis in infants less than three months of age: a reappraisal of closed transventricular pulmonary valvotomy
V Srinivasan, A Konyer, JJ Broda and S Subramanian
Sixteen patients less than 3 months of age underwent closed
transventricular pulmonary valvotomy for critical pulmonary stenosis with
intact ventricular septum. There were 14 survivors; the 2 deaths were
unrelated to the technique. Early and late results reveal good hemodynamics
in all but 1 patient who underwent open valvotomy four years later for
restenosis. We have used this technique exclusively, as it is safe,
requires little preparation for operative relief in the very sick infant,
and the early and late results are excellent.