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The Journal of Thoracic and Cardiovascular Surgery, Vol 69, 758-762, Copyright © 1975 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Closed aortic valvotomy and simultaneous correction of associated anomalies in infants

JK Trinkle, JB Norton, JD Richardson, FL Grover and JA Noonan

A small infant with severe congenital aortic stenosis presents a difficult therapeutic problem. Both operative and nonoperative treatment are hazardous--especially when other cardiovascular anomalies are present. This report describes a simple, effective technique for dilating the stenotic aortic valve and simultaneously repairing certain associated defects. The procedure has been used successfully in 3 infants with a postoperative follow-up of 6 months to 4 years. There were no deaths, and the functional results have been excellent. This technique is presented as an alternative to the more hazardous approach to open valvotomy and/or stage correction of associated anomalies.

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