NEONATAL AORTIC STENOSIS WITH SHOCK - A TALE OF DRAMATIC RECOVERY

We report a case of a 14 day old newborn baby who presented with congestive heart failure and cardiogenic shock to our hospital. After evaluation the baby was diagnosed to have bicuspid aortic valve with severe stenosis and left ventricular dysfunction on two dimensional echocardography. Emergency percutaneous balloon aortic valvotomy was performed. Post-procedure the child showed immediate relief of aortic stenosis with marked improvement in clinical status and left ventricular ejection fraction. These improvements were maintained at follow up.