Summary
Balloon valvuloplasty of congenital pulmonic and aortic stenosis in infants and children nowadays is considered to be an effective curative or palliative cardiological intervention with good or even better immediate and longterm results compared to the post surgical outcome. A few patients only with thickened and dysplastic valves, not amenable to balloon dilatation need surgery. In experienced centers the complication rate of the intervention is low. Treatment without thoracotomy and extracorporal circulation reduces not only the stay in hospital but also the costs in general and obviously offers the patient only benefits.
Zusammenfassung
Die Ballonvalvuloplastie der angeborenen Pulmonal- und Aortenstenosen gilt heute bei Säuglingen und Kindern als eine effiziente kurative bzw. palliative kardiologische Intervention, deren Primär- bzw. Langzeitergebnisse den chirurgischen Resultaten entsprechen bzw. besser sind. Nur wenige Patienten mit dysplastischen, verdickten Klappen bedürfen eines operativen Eingriffs. In erfahrenen Zentren liegt die Komplikationsrate des Verfahrens sehr niedrig und die Behandlung ohne Thorakotomie und Herz-Lungen-Maschine, reduziert die Krankenhausaufenthaltsdauer wie die Kosten beträchtlich, so daß für den Patienten nur Vorteile erkennbar sind.
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© 1994 Springer-Verlag Berlin Heidelberg
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Kallfelz, H.C., Paul, T., Luhmer, I. (1994). Ballonvalvuloplastie von Pulmonal- und Aortenstenose. In: Hartel, W. (eds) Die Ambivalenz des Fortschritts — ist weniger mehr?. Deutsche Gesellschaft für Chirurgie, vol 1994. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79242-7_177
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DOI: https://doi.org/10.1007/978-3-642-79242-7_177
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