<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1683-9803</journal-id>
<journal-title><![CDATA[Pediatría (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[Pediatr. (Asunción)]]></abbrev-journal-title>
<issn>1683-9803</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1683-98032020000200081</article-id>
<article-id pub-id-type="doi">10.31698/ped.47022020008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resultados del tratamiento de la estenosis aórtica en niños de un Hospital Universitario]]></article-title>
<article-title xml:lang="en"><![CDATA[Results of aortic stenosis treatment in children at a University Hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chin Suh]]></surname>
<given-names><![CDATA[Dong]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Varga-Peña]]></surname>
<given-names><![CDATA[Milagros]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Greco]]></surname>
<given-names><![CDATA[Junior]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villagra]]></surname>
<given-names><![CDATA[Lina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira Dick]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benítez]]></surname>
<given-names><![CDATA[Amalio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Egusquiza]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jarolín]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Hospital de Clínicas]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>47</volume>
<numero>2</numero>
<fpage>81</fpage>
<lpage>87</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1683-98032020000200081&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1683-98032020000200081&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1683-98032020000200081&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La estenosis aórtica es relativamente frecuente en niños. El objetivo de este trabajo fue de caracterizar los resultados y la evolución de esta patología luego del manejo quirúrgico y percutáneo.  Material y Métodos: Estudio retrospectivo de pacientes de cero a 19 años, tratados de estenosis aórtica subvalvular, valvular y supravalvular, en el Hospital de Clínicas, entre 1998 y 2019. Fueron excluidos los casos asociados a otras lesiones congénitas.  Resultados: Fueron tratados 20 pacientes, edad de 3 días a 17 años, predominio masculino (80%). La estenosis fue valvular en 65% de los casos, subvalvular 20%, supravalvular 5% y múltiple en 10%. El 61% de los valvulares recibió tratamiento percutáneo, y los demás valvuloplastia quirúrgica. En el seguimiento, la tasa libre de reintervención fue de 47% a 10 años; el 50% de ellos tiene insuficiencia valvular aórtica moderada a severa. De los 13 casos de estenosis valvular, tratados percutánea o quirúrgicamente, 4 están aguardando recambio valvular. De 4 pacientes con estenosis subvalvular, 3 tienen insuficiencia aórtica leve, y gradiente medio de 20 mmHg. De dos pacientes con estenosis supravalvular, uno quedó con estenosis residual importante. En cuanto a clase funcional, todos los pacientes se encuentran en grados 1 y 2 de la escala de NYHA. No se presentaron complicaciones inmediatas en los sometidos a procedimientos percutáneos o quirúrgicos. Fallecieron dos pacientes (10.5%).  Conclusiones: La estenosis aórtica afecta principalmente la región valvular, y el tratamiento tanto quirúrgico como percutáneo permiten aliviar la obstrucción hasta el momento de un reemplazo valvular.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Aortic stenosis is relatively common in children. The objective of this study was to characterize the results and clinical course of this pathology after surgical and percutaneous management.  Material and methods: This was a retrospective study of patients aged 0 to 19 years, treated for subvalvular, valvular, and supravalvular aortic stenosis, at Hospital de Clínicas, between 1998 and 2019. Cases associated with other congenital lesions were excluded.  Results: Twenty patients were treated, age from 3 days to 17 years, male predominance (80%). The stenosis was valvular in 65% of the cases, subvalvular 20%, supravalvular 5% and multiple in 10%. 61% of the valve recipients received percutaneous treatment, and the other surgical valvuloplasty. At follow-up, the free reoperation rate was 47% at 10 years; 50% of them have moderate to severe aortic valve regurgitation. Of the 13 cases of valve stenosis, treated percutaneously or surgically, 4 are awaiting valve replacement. Of 4 patients with subvalvular stenosis, 3 have mild aortic regurgitation and a mean gradient of 20 mmHg. Of two patients with supravalvular stenosis, one was left with significant residual stenosis. Regarding functional class, all patients are in grades 1 and 2 of the NYHA scale. There were no immediate complications in those undergoing percutaneous or surgical procedures. Two patients (10.5%) died.  Conclusions:  Aortic stenosis mainly affects the valve region, and both surgical and percutaneous treatment allow the obstruction to be relieved until the time of valve replacement.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Estenosis aórtica]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia]]></kwd>
<kwd lng="es"><![CDATA[valvuloplastia]]></kwd>
<kwd lng="es"><![CDATA[bicúspide]]></kwd>
<kwd lng="es"><![CDATA[dilatación]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="es"><![CDATA[resultados.]]></kwd>
<kwd lng="en"><![CDATA[Aortic stenosis]]></kwd>
<kwd lng="en"><![CDATA[insufficiency]]></kwd>
<kwd lng="en"><![CDATA[valvuloplasty]]></kwd>
<kwd lng="en"><![CDATA[bicuspid]]></kwd>
<kwd lng="en"><![CDATA[dilation]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
<kwd lng="en"><![CDATA[results]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hoffman]]></surname>
<given-names><![CDATA[JI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Incidence of congenital heart disease I. Postnatal incidence]]></article-title>
<source><![CDATA[Pediatr Cardiol]]></source>
<year>1995</year>
<volume>16</volume>
<page-range>103-13</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[JW]]></given-names>
</name>
<name>
<surname><![CDATA[Ruzmetov]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Vijay]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Rodefeld]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Turrentine]]></surname>
<given-names><![CDATA[MW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgery for aortic stenosis in children a 40-year experience]]></article-title>
<source><![CDATA[Ann Thorac Surg]]></source>
<year>2003</year>
<volume>76</volume>
<page-range>1398-411</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[JW]]></given-names>
</name>
<name>
<surname><![CDATA[Stevens]]></surname>
<given-names><![CDATA[LS]]></given-names>
</name>
<name>
<surname><![CDATA[Holly]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Robinson]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Rodefeld]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Grayson]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical spectrum of aortic stenosis in children a thirty-year experience with 257 children]]></article-title>
<source><![CDATA[Ann Thorac Surg]]></source>
<year>1988</year>
<volume>45</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>393-403</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abella]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández-Doblas]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ferrer]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Gran]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[Estenosis aórtica.En: Díaz GF, Sandoval N, Vélez JF, editores. Cardiología Pediátrica. 2º edición]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Bogotá ]]></publisher-loc>
<publisher-name><![CDATA[Distribuna Editorial]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Haas]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Schirmer]]></surname>
<given-names><![CDATA[KR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guidelines for the Management of Congenital Heart Diseases in Childhood and Adolescence]]></article-title>
<source><![CDATA[Cardiol Young]]></source>
<year>2017</year>
<volume>27</volume>
<numero>S3</numero>
<issue>S3</issue>
<page-range>S1-S105</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alva]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[FD]]></given-names>
</name>
<name>
<surname><![CDATA[Yáñez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estenosis valvuar aórtica Actualización del tratamiento]]></article-title>
<source><![CDATA[Arch Cardiol Mex]]></source>
<year>2006</year>
<volume>76</volume>
<numero>S4</numero>
<issue>S4</issue>
<page-range>152-7</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Donald]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Konstantinov]]></surname>
<given-names><![CDATA[IE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical aortic valvuloplasty versus balloon aortic valve dilatation in children]]></article-title>
<source><![CDATA[World J Pediatr Congenit Heart Surg]]></source>
<year>2016</year>
<volume>7</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>583-91</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[JW]]></given-names>
</name>
<name>
<surname><![CDATA[Ruzmetov]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Vijay]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Rodefeld]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Turrentine]]></surname>
<given-names><![CDATA[MW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Closed transventricular aortic valvotomy for critical aortic stenosis in neonates outcomes, risk factors, and reoperations]]></article-title>
<source><![CDATA[Ann Thorac Surg]]></source>
<year>2006</year>
<volume>81</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>236-42</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ewert]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Bertram]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Breuer]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Dähnert]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Dittrich]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Eicken]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Balloon valvuloplasty in the treatment of congenital aortic valve stenosis-a retrospective multicenter survey of more than 1000 patients]]></article-title>
<source><![CDATA[Int J Cardiol]]></source>
<year>2011</year>
<volume>149</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>182-5</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[JW]]></given-names>
</name>
<name>
<surname><![CDATA[Ruzmetov]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Vijay]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Turrentine]]></surname>
<given-names><![CDATA[MW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical repair of congenital supravalvular aortic stenosis in children]]></article-title>
<source><![CDATA[Eur J Cardiothorac Surg]]></source>
<year>2002</year>
<volume>21</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>50-6</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
