Abstract

SAVIO BENAVIDES, Andrés; GARCIA GUEVARA, Carlos; RAMIRO NOVOA, Juan Carlos  and  GARCIA MOREJON, Carlos. Critical valvular pulmonary stenosis, should it be treated with postnatal angioplasty or with fetal interventionism?. Rev Cubana Pediatr [online]. 2012, vol.84, n.3, pp. 301-306. ISSN 0034-7531.

Critical valvular pulmonary stenosis is a relatively frequent congenital cardiopathy in the newborn, whose survival depends on an immediate intervention either pharmacological or surgical. The prenatal diagnosis allows the intrauterine treatment by dilating the valve through the ball angioplasty. This technique carries the risks inherent to any procedures involving access to the fetus. It has been proved that postnatal angioplasty, early diagnosed with echography, can obtain the same satisfactory results, after the clinical and hemodynamic stabilization of the patient. Therefore, we support postnatal angioplasty.

Keywords : critical pulmonary stenosis; fetal echocardiograpjy; ball angioplasty; fetal interventionism; prenatal diagnosis; congenital cardiopathies.

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