Abstract
This review is devoted to one of the critical conditions in newborns and children in the first year of life – aortic valve stenosis (AVS). Currently, two main directions are used to correct this congenital heart disease (CHD), these are open reconstructions and endovascular interventions. Analysis of the literature data indicates suboptimal long-term results and, as a consequence, the search for new and improvement of the already proposed methods. In most works, there are descriptions of the results of correction of this CHD, mainly in young and older children. There are few works devoted to the results of such interventions in children of the younger age group. Despite the fact that this problem has existed throughout the history of cardiac surgery, its relevance only increases over time. This is due to the need for urgent resuscitation or surgical interventions in newborns and infants. The publication provides an overview of the issues related to the correction of this critical CHD, including the main open reconstructions and endovascular techniques. Comparisons of these two main directions are also presented. It is important to remember that if AVS is not detected in time and the appropriate assistance is not provided, the risk of developing serious complications, up to and including death, is very high.
References
- Carrel A. On the experimental surgery of the thoracic aorta and heart. Ann Surg. 1910; 52 (1): 83–95. DOI: 10.1097/00000658-191007000-00009
- Bockeria L.A., Shatalov K.V. (Eds.) Pediatric cardiac surgery: A Guide for physicians. Moscow; 2016 (in Russ.).
- Isner J.M. Aortic valvuloplasty: are balloon-dilated valves all they are “cracked” up to be? Affiliations expand. 1988; 63 (8): 830–4. DOI: 10.1016/s0025-6196(12)62366-0
- Bailey C.P. Surgery of the heart. Philadelphia, Lea & Febiger; 1955: 740–2.
- Bockeria L.A., Podzolkov V.P., Kokshenev I.V., Glyantsev S.P. of the doctrine of congenital heart disease. Moscow: A.N. Bakoulev Scientific Center for Cardiovascular Surgery of RAMS: 2011; 590 (in Russ.).
- Kortz A.B., Swan H. Direct vision trans-aortic approach to the aortic valve during hypothermia; experimental observations and report of successful clinical case. Ann. Surg. 1956; 144: 205–14. DOI: 10.1097/00000658-195608000-00010
- Spencer F.C., Neill C.A., Sank L., Bahnson H.T. Anatomical variations in 46 patients with congenital aortic stenosis. Am. Surg. 1960; 26: 204–16.
- Coran A.G., Bernhard W.F. The surgical management of valvular aortic stenosis during infancy. J. Thorac. Cardiovasc. Surg. 1969; 58 (3): 401-8.
- Presbitero P., Somerville J. Open aortic valvotomy for congenital aortic stenosis. Br. Heart J. 1982; 47 (1): 26–34. DOI: 10.1136/hrt.47.1.26
- Caspi J., Ilbawi M.N., Roberson D.A., Piccione W., Jr., Monson D.O., Najafi H. Extended aortic valvuloplasty for recurrent valvular stenosis and regurgitation in children. J. Thorac. Cardiovasc. Surg. 1994; 107 (4): 1114–20.
- Duro C.A., Fernández L.Y., Corrales M.P. et al. Aortic valve stenosis. Surgical treatment in children. An. Esp. Pediatr. 1997; 46: 555–60.
- Liao K., Frater R.W., LaPietra A. et al. Time-dependent effect of glutaraldehyde on the tendency to calcify of both autografts and xenografts. Ann. Thorac. Surg. 1995; 60: S343–7. DOI: 10.1016/0003-4975(95)00286-T
- Duran C.M., Gallo R., Kumar N. Aortic valve replacement with autologous pericardium: surgical technique. J. Card. Surg. 1995; 10: 1–9.
- Kadri M.A., Hovaguimian H., Starr A. Commissurotomy and bileaflet pericardial augmentation resuspension for bicuspid aortic valve stenosis. Ann. Thorac. Surg. 1997; 63: 548–50.
- Tolan M.J., Daubeney P.E., Slavik Z, Keeton B.R., Salmon A.P., Monro J.L. Aortic valve repair of congenital stenosis with bovine pericardium. Ann. Thorac. Surg. 1997; 63 (2): 465–9. DOI: 10.1016/s0003-4975(96)01231-3
- Pretre R., Kadner A., Dave H., Bettex D., Genoni M. Tricuspidisation of the aortic valve with creation of a crown-like annulus is able to restore a normal valve function in bicuspid aortic valves. Eur. J. Cardiothorac. Surg. 2006; 29 (6): 1001–6. DOI: 10.1016/j.ejcts.2006.01.068
- Baird C.W., Myers P.O., del Nido P.J. Aortic valve reconstruction in the young infants and children. Semin. Thorac. Cardiovasc. Surg. Pediatr. Card. Surg. Annu. 2012; 15 (1): 9–19. DOI: 10.1053/j.pcsu.2012.01.004
- Ozaki S., Kawase I., Yamashita H. et al. Aortic valve reconstruction using self-developed aortic valve plasty system in aortic valve disease. Interact. Cardiovasc. Thorac. Surg. 2011; 12 (4): 550–3. DOI: 10.1510/icvts.2010.253682
- Baird C.W., Sefton B., Chaves M., Dleeper L.A., del Nido P.J. Congenital aortic and truncal valve reconstruction unitilising thr Osaki technique: short-term clinical results. J. Thorac. Cardiovasc. Surg. 2020; 19: 1114–20. DOI: 10.1016/j.jtcvs. 2020.01.087
- Wang K., Zhang H., Jia B. Current surgical strategies and techniques of aortic valve diseases in children. Transl. Pediatr. 2018; 7 (2): 83–90. DOI: 10.21037/tp.2018.02.03
- Bianchi G. eComment. Autologous pericardium is superior to conventional bovine patch in congenital heart disease reconstructive surgery: an appraisal for tissueengineered xenograft. Interact. Cardiovasc. Thorac. Surg. 2013; 17 (4): 702–3. DOI: 10.1093/icvts/ivt368
- Jiang W.J., Cui Y.C., Li J.H., Zhang X.H., Ding H.H., Lai Y.Q. Is autologous or heterologous pericardium better for valvuloplasty? A comparative study of calcification propensity. Tex. Heart Inst. J. 2015; 42 (3): 202–8. DOI: 10.14503/THIJ-14-4296
- Khan M.S., Samayoa A.X., Chen D.W., Petit C.J., Frazer C.D. Contemporary experience with surgical treatment of aortic valve disease in children. J. Thorac. Cardiovasc. Surg. 2013; 146: 512–20; discussion 520–1. DOI: 10.1016/j.jtcvs. 2013.04.014
- Iop L., Palmosi T., Dal Sasso E., Gerosa G. Bioengineered tissue solutions for repair, correction and reconstruction in cardiovascular surgery. J. Thorac. Dis. 2018; 10 (20): 2390–411. DOI: 10.21037/jtd.2018.04.27
- Sharabiani M.T., Dorobantu D.M., Mahani A.S. et al. Aortic valve replacement and the ross operation in children and young adults. J. Am. Coll. Cardiol. 2016; 67 (24): 2858–70. DOI: 10.1016/j.jacc.2016.04.021
- Ross D.N. Replacement of aortic and mitral valves with a pulmonary autograft. Lancet. 1967; 2 (7523): 956–8. DOI: 10.1016/s0140-6736(67)90794-5
- Elkins R.C., Thompson D.M., Lane M.M., Elkins C.C., Peyto M.D. Ross operation: 16-year experience. J. Thorac. Cardiovasc. Surg. 2008; 136: 623–30, 630. DOI: 10.1016/j.jtcvs.2008.02.080
- Brancaccio G., Polito A., Hoxha S., Giannico S., Amodeo A., Carotti A. The Ross procedure in patients aged less than 18 years: the midterm results. J. Thorac. Cardiovasc. Surg. 2014; 147: 383–8. DOI: 10.1016/j.jtcvs.2013.02.037
- Konstantinov I.E., d'Udekem Y., Brizard C.P. Ross operation or valve repair in neonates and infants? J. Thorac. Cardiovasc. Surg. 2014; 148: 362–3. DOI: 10.1016/j.jtcvs.2014.02.053
- Ruzmetov M., Geiss D.M., Shah J.J., Buckley K.B., Fortuns R.S. The Ross-Konno is a high-risk procedure when compared with the Ross operation in children. Ann. Thorac. Surg. 2013; 95: 670–5. DOI: 10.1016/j.athoracsur.2012.08.041
- Alsoufi B., d'Udekem Y. Aortic valve repair and replacement in children. Future Cardiol. 2014; 10 (1): 105–15. DOI: 10.2217/fca.13.88
- Woods R.K., Pasquali S.K., Jacobs M.L. Aortic valve replacement in neonates and infants: an analysis of the society of thoracic surgeons congenital heart surgery database. J. Thorac. Cardiovasc. Surg. 2012; 144 (5): 1084–89. DOI: 10.1016/j.jtcvs.2012.07.060
- Alsoufi B., Ahmed D., Manlhiot C. The fate of the remaining neo-aortic root following autograft valve replacement with a stented prosthesis for the failing Ross procedure. Ann. Thorac. Surg. 2013; 96 (1): 59–65. DOI: 10.1016/j.athoracsur.2013.04.034
- Mokhles M.M., Rizopoulos D., Andrinopoulou E.R., Bekkers J.A., Roos-Hesselink J.W., Lesaffre E. Autograft and pulmonary allograft performance in the second post-operative decade after the Ross procedure: insights from the Rotterdam Prospective Cohort Study. Eur. Heart J. 2012; 33: 2213–24. DOI: 10.1093/eurheartj/ehs173
- Cabalka A.K., Emery R.W., Petersen R.J., Helseth H.K., Jakkula M., Arom K.V. Long-term follow-up of the St. Jude Medical prosthesis in pediatric patients. Thorac. Surg. 1995; 60 (6 Suppl.): S618–23. DOI: 10.1016/0003-4975(95) 00850-0
- Alexiou C., McDonald A., Langley S.M. Aortic valve replacement in children: are mechanical prostheses a good option? Eur. J. Cardiothorac. Surg. 2000; 17 (2): 125–33. DOI: 10.1016/S1010-7940(00)00324-9
- Etnel J.R., Elmont L.C., Ertekin E., Mokhles M.M., Heuvelman H.J., Roos-Hesselink J.W. Outcome after aortic valve replacement in children: a systematic review and meta-analysis. J. Thorac. Cardiovasc. Surg. 2016; 151 (1): 143–52.e1–3. DOI: 10.1016/j.jtcvs.2015.09.083
- Talwar S., Malankar D., Garg S., Choudhary S. Aortic valve replacement with biological substitutes in children. Asian Cardiovasc. Thorac. Ann. 2012; 20: 518–24. DOI: 10.1177/0218492312439400
- Turrentine M.W., Ruzmetov M., Vijay P., Bills R.G., Brown L.W. et al. Biological versus mechanical aortic valve replacement in children. Ann. Thorac. Surg. 2001; 71: S356–60. DOI: 10.1016/s0003-4975(01)02507-3
- Lupinetti F.M., Duncan B.W., Lewin M., Dyamenahalli U., Rosenthal G.L. Comparison of autograft and allograft aortic valve replacement in children. J. Thorac. Cardiovasc. Surg. 2003; 126 (1): 240–6. DOI: 10.1016/s0022-5223(03) 00041-2
- Lababidi Z. Aortic balloon valvuloplasty. Am. J. Cardiol. 1983; 106: 751–3. DOI: 10.1016/0002-8703(83)90097-2
- Wren C., Sullivan I., Bull C., Deanneld J. Percutaneous balloon dilatation of aortic valve stenosis in neonates and infants. Br. Heart J. 1987; 58: 608–12. DOI: 10.1136/hrt.58.6.608
- Perry S.B., Zewi B., Kean J.E. Interventional catheterization of left heart lesions, inducing aortic and mitral valve stenosis and cooperation of aorta. Cardiol. Clin. 1989; 7: 341–9.
- Gorustovich A.V., Savchuk A.I, Shevchenko N.S., Dedovich V.V., Korol'kova E.V, Drozdovskiy K.V. The results of the treatment of congenital aortic stenosis in children of the first year of life. Children's Heart and Vascular Diseases. 2018; 15 (2): 100–5. DOI: 10.24022/1810-0686-2018-15-2-100- 105 (in Russ.).
- Chernogrivov A.E., Bofanov D.A., Chernogrivov I.E., Shmatkov M.G., Nazarova I.S., Bazylev V.V. The results of open heart surgery and percutaneous balloon valvuloplasty in infants with congenital aortic valve stenosis. Children's Heart and Vascular Diseases. 2019; 16 (4): 259–67. DOI: 10.24022/1810-0686-2019-16-4-259-267 (in Russ.).
- Podzolkov V.P., Samsonov V.B., Mataev V.S., Chiaureli M.R., Gadzhieva A.Sh. The long-term results of open commissurotomy for congenital aortic valve stenosis. The Bulletin of Bakoulev Center for Cardiovascular Diseases. 2018; 19 (3): 338–42. DOI: 10.24022/1810-0694-2018-19-3-338-342 (in Russ.).
- Singh G.K. Congenital aortic valve stenosis. Children. 2019; 6 (5): 69. DOI: 10.3390/children6050069
- Wang K., Zhang H., Jia B. Current surgical strategies and techniques of aortic valve diseases in children. Transl. Pediatr. 2018; 7 (2): 83–90. DOI: 10.21037/tp.2018.02.03
- Lofland G.K., McCrindle B.W., Williams W.G., Blackstone E.H., Tchervenkov C.I., Sittiwankul R. et al. Critical aortic stenosis in the neonate: a multi- institutional study of management, outcomes, and risk factors. J. Thorac. Cardiovasc. Surg. 2001; 121: 10–27. DOI: 10.1067/mtc 2001.111207
- Chernogrivov A., Bofanov D., Chernogrivov I., Suleimanov S., Rybakova T., Nazarova I. Open surgery for bicuspid aortic valve in neonates and infants: what should we know about the anatomy? WSPCHS, June 20-22, 2019. Bulgaria, Sofia. World J. Pediatr. Congenit. Heart Surg. 2019; 10 (6). DOI: 10.1177/2150135119869003
- Hraška V., Sinzobahamvya N., Haun C., Photiadis J., Arenz C., Schneider M. The long-term outcome of open valvotomy for critical aortic stenosis in neonates. Ann. Thorac. Surg. 2012; 94: 1519–26. DOI: 10.1016/j.athoracsur.2012.03.056
- Zaban N.B., Herrmann J.L., Hoyer M.H., Brown J.W., Alexy R.D. Short- and intermediate-term results of balloon aortic valvuloplasty and surgical aortic valvotomy in neonates. Cardiol. Young. 2020; 30 (4): 489–92. DOI: 10.1017/S1047951120000372
- Siddiqui J., Brizard C.P. Surgical valvotomy and repair for neonatal and infant congenital aortic stenosis achieves better results than interventional catheterization. J. Am. Coll. Cardiol. 2013; 62 (22): 2134–40. DOI: 10.1016/j.jacc. 2013.07.052
- Bazylev V.V., Chernogrivov A.E., Chernogrivov I.E., Bofanov D.A., Shmatkov M.G., Gornostaev A.A. A method for eliminating aortic valve stenosis in case of its bicuspid structure. Invention patent. RU 2713588 C1, 05.02.2020. Application No. 2018144216 dated 13.12.2018 (in Russ.).
- Hill G.D., Ginde S., Rios R., Frommelt P.C., Hill K.D. Surgical valvotomy versus balloon valvuloplasty for congenital aortic valve stenosis: a systematic review and meta-analysis. J. Am. Heart Assoc. 2016; 5 (8): e003931. DOI: 10.1161/JAHA. 116.003931
- Jijeh A.M.Z., Ismail M., Al-Bahanta A., Alomrani A., Tamimi O. Percutaneous balloon dilatation for congenital aortic stenosis during infancy: A 15-year single-center experience. Ann. Pediatr. Cardiol. 2018; 11 (2): 143–7. DOI: 10.4103/apc. APC_171_17.
- Pass R.H., Hellenbrand W.E. Catheter intervention for critical aortic stenosis in the neonate. Cathet. Cardiovasc. Intervent. 2002; 55: 88–92. DOI: 10.1002/ccd.10085
- Kim A.I., Rogova T.V., Kurganov R.M., Holmanskaja E.V. A case of observation and successful surgical removal of a rare form of the subaortic membrane in an infant. Children's Heart and Vascular Diseases. 2017; 14 (3): 161–5. DOI: 10.24022/1810-0686-2017-14-3-161-165 (in Russ.).
- Zain Z., Zadinello M., Menahem S. Neonatal isolated critical aortic valve stenosis: balloon valvuloplasty or surgical valvotomy. Heart Lung Circ. 2006; 15: 18–23. DOI: 10.1016/j.hlc.2005.02.003
- McCrindle B.W., Blackstone E.H., Williams W.G., Sittiwangkul R., Spray T.L., Azakie A. Are outcomes of surgical versus transcatheter balloon valvotomy equivalent in neonatal critical aortic stenosis? Circulation. 2001; 104: 1152–5. DOI: 10.1161/hc37t1.094837
About the authors
- Vladlen V. Bazylev, Dr. Med. Sc., Professor, Chief Physicion, ORCID
- Dmitriy A. Bofanov, Cardiovascular Surgeon, ORCID
- Alisher B. Gamzaev, Dr. Med. Sc, Professor, Cardiovascular Surgeon, ORCID
- Aleksey E. Chernogrivov, Dr. Med. Sc., Professor, Head of Department,
ORCID