Contemporary results of balloon valvuloplasty and surgical valvotomy for XXXX .

@entity1 @entity384 @entity661 @entity337 @entity1317 @entity472 @entity1964
The purpose of this study was to compare contemporary results of @entity384 and surgery for @entity472 in @entity1 and @entity1 in the five years between August 1988 and October 1993. Thirty four @entity1 underwent attempted balloon valvuloplasty (age 1 day-16 years, weight 1720 g-68 kg) (group 1), eight of whom were neonates with critical @entity472 . During the same period, 17 @entity1 underwent direct surgical valvotomy (group 2) (seven neonates). @entity661 was achieved in 33 (97%) with immediate reduction in the instantaneous systolic pressure gradient from 82 to 34 mm Hg (mean). There were two deaths in this group (both neonates), the second in a preterm neonate from @entity1964 . Complications requiring intervention in group 1 were @entity337 in one and femoral @entity1317 in two. Follow up from four months to five years showed sustained results in most cases. There were two neonatal deaths in the surgical group. When the two groups were compared there was no significant difference in mortality, morbidity, or need for reintervention within 12 months. Deaths from both groups were attributed to small left ventricles. Hospital stay was significantly shorter in group 1. It is concluded that @entity384 for @entity472 is effective and safe for the entire paediatric population. The results compare favourably with those of surgery.
