Year : 2010  |  Volume : 13  |  Issue : 3  |  Page : 236--240

Controlled transient respiratory arrest along with rapid right ventricular pacing for improving balloon stability during balloon valvuloplasty in pediatric patients with congenital aortic stenosis - A retrospective case series analysis


Sampa Dutta Gupta1, Soumi Das1, Tapas Ghose2, Achyut Sarkar3, Anupam Goswami1, Sudeshna Kundu1 
1 Department of Anaesthesiology, Institute of Postgraduate Medical Education and Research/SSKM Hospital, Kolkata, India
2 School of Digestive and Liver Disease, Institute of Postgraduate Medical Education and Research/SSKM Hospital, Kolkata, India
3 Department of Cardiology, Institute of Postgraduate Medical Education and Research/SSKM Hospital, Kolkata, India

Correspondence Address:
Sampa Dutta Gupta
42 Lake Place, Kolkata - 700 029
India

Rapid right ventricular pacing is safe, effective, and established method to provide balloon stability during balloon aortic valvuloplasty (BAV). Controlled transient respiratory arrest at this point of time may further reduce left ventricular stroke volume, providing an additional benefit to maintain balloon stability. Two groups were studied. Among the 10 patients, five had rapid pacing alone (Group A), while the other five were provided with cessation of positive pressure breathing as well (Group B). The outcomes of BAV in the two groups of patients were studied. One patient in Group A had failed balloon dilatation even after the fourth attempt, while in Group B there were no failures. The peak systolic gradient reduction was higher in Group B (70.05% in comparison to 52.16% of group A). In Group A, five subjects developed aortic regurgitation (grade 2 in four and grade 3 in one, while no grade 3 aortic regurgitation developed in any patient in Group B). Controlled transient respiratory arrest along with rapid ventricular pacing may be effective in maintaining balloon stability and improve the outcome of BAV.


How to cite this article:
Gupta SD, Das S, Ghose T, Sarkar A, Goswami A, Kundu S. Controlled transient respiratory arrest along with rapid right ventricular pacing for improving balloon stability during balloon valvuloplasty in pediatric patients with congenital aortic stenosis - A retrospective case series analysis.Ann Card Anaesth 2010;13:236-240


How to cite this URL:
Gupta SD, Das S, Ghose T, Sarkar A, Goswami A, Kundu S. Controlled transient respiratory arrest along with rapid right ventricular pacing for improving balloon stability during balloon valvuloplasty in pediatric patients with congenital aortic stenosis - A retrospective case series analysis. Ann Card Anaesth [serial online] 2010 [cited 2020 Jun 3 ];13:236-240
Available from: http://www.annals.in/article.asp?issn=0971-9784;year=2010;volume=13;issue=3;spage=236;epage=240;aulast=Gupta;type=0