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KMID : 0358420170600010106
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Korean Journal of Obstetrics and Gynecology
2017 Volume.60 No. 1 p.106 ~ p.109
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First reported case of fetal aortic valvuloplasty in Asia
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Yoon Sun-Young
Won Hye-Sung
Lee Mi-Young
Cho Min-Kyong
Jung Eui-Seok
Kim Ki-Soo
Kim Young-Hwue
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Abstract
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Prenatal intervention of severe fetal aortic valve stenosis by ultrasound-guided percutaneous balloon valvuloplasty has been performed to prevent the progression to hypoplastic left heart syndrome, and achieve biventricular circulation in neonates. Here we report a case of fetal aortic valvuloplasty prenatally diagnosed with aortic stenosis at 24 weeks of gestation and showed worsening features on a follow-up echocardiography. Prenatal aortic valvuloplasty was performed at 29 weeks of gestation, and was a technical success. However, fetal bradycardia sustained, and an emergency cesarean delivery was performed. To the best of our knowledge, this is the first reported case of fetal aortic valvuloplasty which was performed in Asia.
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KEYWORD
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Aortic valve stenosis, Echocardiography, Fetal heart, Fetal therapies, Prenatal diagnosis
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