Is asymmetric dimethylarginine a good predictor of ischemia using myocardial perfusion scintigraphy?
Our data support the hypothesis that increased baseline ADMA levels are independently related with the presence of reversible ischemia.
Open valvotomy remains the gold standard in the management of AS in neonates, infants and older children. It is associated with low operative mortality and provides lengthy freedom from recurrent AS and regurgitation. Re-operations are common but if AVR is required, implantation of an adult-sized prosthesis is usually possible. There is a late death-hazard for those with severe associated lesions, but the survival prospects for the patients with isolated AS are excellent.