{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T12:58:58Z","timestamp":1785502738471,"version":"3.56.0"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Congenital valvular aortic stenosis (AS) represents 3%\u20136% of congenital heart diseases. This study aimed to compare the outcomes of balloon valvuloplasty (BV) and surgical valvotomy (SV) in patients with AS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study was conducted on 69 patients. A retrospective analysis was done on 69 patients (who underwent BV or SV) at a tertiary heart center in Mashhad, Iran (between 2000 and 2023).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean age of BV patients (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 24, 17 males) was 67.08 \u00b1 55.92 months, while it was 97.44 \u00b1 64.18 months in SV patients (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 45, 33 males). Both treatments reduced the pressure gradients without significant differences (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05). Aortic valve replacement (AVR) was performed in 20% of SV and 4.1% of BV patients. Over 60% remained intervention-free for at least 5 years. Moderate-to-severe aortic insufficiency developed in 19% of SV and 7% of BV patients. A second-time SV was required in 6.7% and 4.2% of SV and BV cases, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>BV and SV showed comparable outcomes, with BV demonstrating shorter hospitalization, fewer complications, and lower AVR rates, though reintervention remained necessary for both.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/apc.apc_259_24","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T11:00:12Z","timestamp":1785495612000},"page":"405-412","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Two decades of pediatric aortic stenosis: Balloon versus surgical interventions: A single center study"],"prefix":"10.4103","volume":"19","author":[{"given":"Yousef Erfani Karimzadeh","family":"Tosi","sequence":"first","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnord, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shirin","family":"Ghiasi","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany"},{"name":"Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra Barati","family":"Farimani","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnord, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammadreza","family":"Abolvahedi","sequence":"additional","affiliation":[{"name":"Department of Pediatric, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Abbasi","family":"Tashnizi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Atherosclerosis Prevention Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Mottaghi","family":"Moghadam","sequence":"additional","affiliation":[{"name":"International UNESCO Center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan Mottaghi","family":"Moghadam","sequence":"additional","affiliation":[{"name":"Department of Pediatric, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, 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