Neonatal balloon aortic valvotomy for critical aortic stenosis with congestive heart failure and severe left ventricular dysfunction

We present the case report of a 23 day newborn baby who presented with congestive heart failure. On two-dimensional echocardiography, it was diagnosed to have severe (critical) aortic valve stenosis with severe left ventricle (LV) dysfunction with dilated left atrium and left ventricle. Emergency percutaneous balloon aortic valvotomy was performed. Post-procedure the child showed immediate relief of aortic stenosis. Improvement in the left ventricular ejection fraction was also noted. Immediate and short term follow-up shows improvement in the clinical and Doppler echocardiography findings.