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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.


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 Abstract
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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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  1. Letac B, Cribier A, Koning R, Lefebvre E. Aortic stenosis in elderly patients aged 80 or older. Treatment by percutaneous balloon valvuloplasty in a series of 92 cases Circulation 1989;80:1514-1520.[Abstract/Free Full Text]
  2. Hayes SN, Holanes DR, Nishimura RA, Reeder GS. Palliative percutaneous aortic balloon valvuloplasty before non-cardiac operations and invasive proceduresfifth ed. Mayo Clin Proc. 64. 1989. pp. 753-757.
  3. Bradey ST, Davis CA, Kussmaul WG, Laskey WK, Hirshfeld JW, Herrmann HC. Percutaneous aortic balloon valvuloplasty in octogenarians Ann Intern Med 1989;110:761-766.[Medline]
  4. Roth RB, Palacios IF, Black PC. Percutaneous aortic balloon valvuloplasty: its role in the management of patients with aortic stenosis requiring major noncardiac surgery J Am Coll Cardiol 1989;13:1039-1041.[Medline]
  5. Percutaneous balloon aortic valvuloplasty. Acute and 30 days follow-up results in 674 patients from the NHLBI Balloon Valvuloplasty Registry Circulation 1991;84:2383-2397.[Abstract/Free Full Text]
  6. Isner JM. Mansfield Scientific Aortic Valvuloplasty Registry investigators. Acute catastrophic complications of balloon aortic valvuloplasty J Am Coll Cardiol 1991;17:1436-1444.[Medline]
  7. Kuntz RE, Tosterson A, Berman AD, et al. Predictors of event-free survival after balloon aortic valvuloplasty N Engl J Med 1991;325:17-23.[Medline]
  8. Fremes SE, Goldman BS, Ivanov J, et al. Valvular surgery in the elderly Circulation 1989;80(Suppl 1):77-90.
  9. Soit WC, Miller DC, Haverich A, et al. Determinants of operative mortality for patients undergoing aortic valve repair J Thorac Cardiovasc Surg 1985;89:400-403.[Abstract]



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This Article
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Right arrow Articles by Rankin, J. S.