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A 3 years baby was admitted with history of breathlessness for 1 year with no weight gain. She was a pre-term baby (7 months LSCS) and was diagnosed to have Congenital Heart Disease (Acynotic) with moderate to severe pulmonary stenosis. After detailed evaluation she underwent Balloon Pulmonary Valvuloplasty.
The pulmonary valvuloplasty was performed with 14 X 40 mm balloon, which was inflated (twice) at nominal pressure at the valve plane level, with the formation and disappearance of the hourglass image.
Post-Pulmonary valvuloplasty pressures were: RA = 9, Pulmonary gradient: 20 mm of Hg (Pre Procedure gradient — 50 mm of Hg), RV = 60/4 (Pre Procedure 48/4) with no significant gradient post procedure . Therefore, the procedure was considered very successful.
