The 1st Balloon Valvuloplasty: An Historical Note

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Departmental Papers (Vet)
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Coronary anomaly
English Bulldog
Pulmonic stenosis
Single coronary artery
Animal Diseases
Cardiology
Cardiovascular Diseases
Comparative and Laboratory Animal Medicine
Surgery
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Anderson, James H
White, Robert I
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Abstract

Balloon valvuloplasty (BV) is currently the treatment of choice for pulmonic stenosis in humans and dogs. Before permission was obtained to attempt the 1st BV in a child in 1982, the safety and efficacy of the procedure were tested in 1980 in an English Bulldog with spontaneous pulmonic stenosis. A fatal outcome would have caused indefinite postponement of BV in human patients, a procedure that currently benefits over 25,000 patients a year worldwide. This article describes the initial test procedure and its fortunate outcome in spite of unrecognized coronary anomalies in the bulldog. A small balloon was used in the test procedure, and fatal disruption of the anomalous left coronary artery (CA) did not occur as it has in several bulldogs since that time.

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2002-01-01
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Journal of Veterinary Internal Medicine
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