Pediatric Cardiology

, Volume 36, Issue 3, pp 616–624 | Cite as

Balloon Dilation and Surgical Valvotomy Comparison in Non-critical Congenital Aortic Valve Stenosis

  • Sergej M. Prijic
  • Vladislav A. Vukomanovic
  • Mila S. Stajevic
  • Bojko B. Bjelakovic
  • Marija D. Zdravkovic
  • Igor N. Sehic
  • Jovan Lj. Kosutic
Original Article


Percutaneous balloon aortic valvoplasty (BAV) and surgical aortic valvotomy (SAV) are palliative procedures in patients with non-critical congenital valve stenosis. The aim of the study was to evaluate long-term BAV and SAV results after up to 24 years of follow-up. From 1987 to 2013, 74 consecutive interventions were performed in patients with aortic stenosis, and 62 were included in the study (39 BAVs and 23 SAVs). Age of BAV patients was 1.3 months to 17 years, and of SAV patients 1.2 months to 15 years. Although BAV patients were older, there was no difference between groups according to sex, valve function/morphology, and early/late follow-up results, with exception to hospitalization period. Significant pressure gradient reduction and aortic regurgitation increment were registered after procedures. Three patients did not survive early period after surgery. Follow-up period was 7.0 ± 5.4 and 9.0 ± 8.0 years after BAV and SAV, respectively (p = 0.242). Follow-up pressure gradient rose only in the BAV group, and was emphasized after 10-year-follow-up (p = 0.020). Significant aortic insufficiency progression was registered after 15 years of follow-up in both groups (p = 0.007 and p = 0.009, respectively). Mean reintervention-free survival was 12.0 years in the BAV and 14.5 years in the SAV group (p = 0.733), and mean survival without aortic valve replacement was 15.2 and 17.4 years, respectively (p = 0.877). BAV and SAV in patients with congenital aortic stenosis are very comparable in both early and late follow-up results.


Congenital aortic valve stenosis Balloon Surgery 


Conflict of interest

The authors declare that they have no conflict of interest. There is no financial or ethical conflict of interests regarding the contents of the submission.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Sergej M. Prijic
    • 1
    • 2
  • Vladislav A. Vukomanovic
    • 1
    • 2
  • Mila S. Stajevic
    • 2
    • 3
  • Bojko B. Bjelakovic
    • 4
    • 5
  • Marija D. Zdravkovic
    • 2
    • 6
  • Igor N. Sehic
    • 3
  • Jovan Lj. Kosutic
    • 1
    • 2
  1. 1.Cardiology DepartmentMother and Child Health Institute of SerbiaBelgradeSerbia
  2. 2.School of MedicineUniversity of BelgradeBelgradeSerbia
  3. 3.Cardiothoracic Surgery DepartmentMother and Child Health Institute of SerbiaBelgradeSerbia
  4. 4.Pediatric Cardiology DepartmentClinical Center NisNisSerbia
  5. 5.School of MedicineUniversity of NisNisSerbia
  6. 6.Cardiology DepartmentUniversity Medical Center Bezanijska KosaBelgradeSerbia

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