Advances in the treatment of aortic stenosis across the lifespan

Abstract

With these results, the pulmonary autograft constitutes the valve of choice for the left ventricular outflow tract in children of all ages, as well as adolescents and adults. Because there is a growth potential, permanent relief from LVOT obstruction might become possible at any age, especially in the number of infants with critical aortic stenosis who survive a valvotomy or repair of interrupted aortic arch during infancy, but return with multiple level outflow tract obstructions early in childhood. If, however, a child is at risk for developing endocarditis or has a history of cardiac infections, it may be a wise choice to use a homograft initially and replace it later with an autograft when the homograft degenerates.