Percutaneous aortic balloon valvuloplasty: Its role in the management of patients with aortic stenosis requiring major noncardiac surgery

Autor: Roth, Robert B., Palacios, Igor F., Block, Peter C.
Zdroj: Journal of the American College of Cardiology; April 1989, Vol. 13 Issue: 5 p1039-1041, 3p
Abstrakt: Seven patients with severe aortic stenosis underwent percutaneous aortic balloon valvuloplasty in preparation for major noncardiac surgery. There were four men and three women (mean age 82 ± 1.3 years, range 78 to 88). A significant reduction in the transaortic pressure gradient from 77 ± 7.8 to 31 ± 6.2 mm Hg (p = 0.002) and increase in calculated aortic valve area from 0.5 ± 0.1 to 1.0 ± 0.3 cm2(p = 0.05) was noted. Three of the seven procedures were performed anterograde with use of transseptal puncture: two of the three because of abdominal aortic aneurysm and one because of peripheral vascular disease.
Databáze: Supplemental Index