{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T17:15:16Z","timestamp":1764350116503},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Interventions"],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:sec>\n            <jats:title>Background\u2014<\/jats:title>\n            <jats:p>In congenital aortic stenosis, chronic pressure load has detrimental effects on left ventricular (LV) systolic and diastolic function. Reduction in LV pressure load with balloon aortic valvuloplasty (BAVP) may improve diastolic function.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods and Results\u2014<\/jats:title>\n            <jats:p>\n              Echocardiographic and catheterization data for 25 consecutive patients undergoing BAVP for congenital aortic stenosis were retrospectively analyzed. Median age at BAVP was 11.5 years (3.2\u201340.1). LV end-diastolic pressure was elevated (\u226515\u2009mm Hg) in 72% of patients, with a median of 17\u2009mm Hg (range, 9\u201324). With BAVP, median aortic stenosis gradient was reduced from 63\u2009mm Hg (range, 44\u2013105) to 30\u2009mm Hg (range, 10\u201343). Aortic regurgitation increased from trivial (none to mild) to mild (trivial to moderate). Pre-BAVP early diastolic mitral inflow velocity\/tissue Doppler early diastolic velocity (E\/E\u00b4) correlated with LV end-diastolic pressure (\n              <jats:italic>r<\/jats:italic>\n              =0.52,\n              <jats:italic>P<\/jats:italic>\n              =0.007). On follow-up echocardiography (median, 11 months after BAVP), aortic stenosis gradient was lower (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) and degree of AR was higher (\n              <jats:italic>P<\/jats:italic>\n              =0.01) compared with pre-BAVP echocardiograms. LV end-diastolic volume\n              <jats:italic>z<\/jats:italic>\n              -score increased (\n              <jats:italic>P<\/jats:italic>\n              =0.02), LV mass was unchanged, and LV mass:volume decreased (\n              <jats:italic>P<\/jats:italic>\n              =0.002). Mitral annular and septal E\u00b4 (\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001) were higher and E\/E\u00b4 was lower after dilation (10.8 versus 14.2,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001). Lower pre-BAVP E\/E\u00b4 and lower pre-BAVP LV mass\n              <jats:italic>z<\/jats:italic>\n              -score were associated with lower post-BAVP E\/E.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion\u2014<\/jats:title>\n            <jats:p>\n              After BAVP, LV remodeling characterized by an increase in EDV and decrease in LV mass:volume occurs and echocardiographic measures of diastolic function and LV end-diastolic pressure improve in most patients. Risk factors for persistent diastolic dysfunction include higher pre-BAVP LV mass\n              <jats:italic>z<\/jats:italic>\n              -score and worse pre-BAVP diastolic function.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circinterventions.112.968958","type":"journal-article","created":{"date-parts":[[2012,6,28]],"date-time":"2012-06-28T00:16:13Z","timestamp":1340842573000},"page":"549-554","update-policy":"http:\/\/dx.doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":19,"title":["Left Ventricular Remodeling and Improvement in Diastolic Function After Balloon Aortic Valvuloplasty for Congenital Aortic Stenosis"],"prefix":"10.1161","volume":"5","author":[{"given":"Kevin G.","family":"Friedman","sequence":"first","affiliation":[{"name":"From the Department of Cardiology, Children\u2019s Hospital Boston; and the Department of Pediatrics, Harvard Medical School, Boston MA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doff B.","family":"McElhinney","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology, Children\u2019s Hospital Boston; and the Department of Pediatrics, Harvard Medical School, Boston MA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven D.","family":"Colan","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology, Children\u2019s Hospital Boston; and the Department of Pediatrics, Harvard Medical School, Boston MA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Porras","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology, Children\u2019s Hospital Boston; and the Department of Pediatrics, Harvard Medical School, Boston MA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J.","family":"Powell","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology, Children\u2019s Hospital Boston; and the Department of Pediatrics, Harvard Medical School, Boston MA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James E.","family":"Lock","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology, Children\u2019s Hospital Boston; and the Department of Pediatrics, Harvard Medical School, Boston MA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David W.","family":"Brown","sequence":"additional","affiliation":[{"name":"From the Department of Cardiology, Children\u2019s Hospital Boston; and the Department of Pediatrics, Harvard Medical School, Boston MA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.07.022"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(60)90084-9"},{"key":"e_1_3_3_4_2","first-page":"I26","article-title":"The spectrum of left ventricular hypertrophy in a general population sample: the Framingham Study.","volume":"75","author":"Savage DD","year":"1987","unstructured":"Savage DD, Garrison RJ, Kannel WB, Levy D, Anderson SJ, Stokes J, Feinleib M, Castelli WP. 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