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Ann Thorac Surg 1993;55:914-916
© 1993 The Society of Thoracic Surgeons

Articles

Balloon aortic valvuloplasty as a bridge to aortic valve replacement in critically ill patients

Nicholas G. Smedira, MD, Thomas A. Ports, MD, Scot H. Merrick, MD, J.Scott Rankin, MD*

Departments of Surgery and Medicine, University of California, San Francisco, Medical Center, San Francisco, California USA

Accepted for publication July 20, 1992.

* Address reprint requests to Dr Rankin, Division of Cardiothorasic Surgery University of California, Morfitt-Long and Mt. Zion Hospitals, 505 Parnassus Ave, M593, Box 0118, San Francisco, CA 94143-0118.

This report highlights our experience in 5 patients with severe aortic stenosis and multiple organ failure undergoing balloon aortic Valvuloplasty as a bridge to conventional aortic valve replacement. Balloon aortic Valvuloplasty successfully stabilized the condition of these patients, improved organ function, and decreased their baseline risk profile. Elective aortic valve replacement was then performed without complications. Short-term palliation with balloon aortic Valvuloplasty should be considered as a bridge to aortic valve replacement in selected patients with critical aortic stenosis and multiple organ failure.




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