Document Detail

Anterograde percutaneous transseptal valvuloplasty in a case of severe calcific aortic stenosis.
MedLine Citation:
PMID:  2952504     Owner:  NLM     Status:  MEDLINE    
The retrograde catheterization and percutaneous dilatation of calcific stenotic aortic valves is not always possible in elderly patients. We report the case of a 76-year old woman admitted with severe aortic stenosis in whom it was impossible to reach the left ventricle retrogradely. This led us to attempt percutaneous aortic valvuloplasty using a transseptal anterograde approach. The Mullins transseptal sheath catheter was advanced into the left ventricle and a 7 F catheter containing a long guide wire (400 cm) passed through the sheath. The flexible end of the guide wire was advanced through the aortic valve anterogradely and an angled wireloop retriever used to catch the flexible end of the guide wire and to draw it out of the body through the left femoral artery. A 7 F balloon catheter was introduced percutaneously over the long guide wire and allowed dilatation of the interatrial septum and femoral vein. A 8 F Schneider-Grüntzig catheter (80 mm) length, 19 mm diameter when inflated) was inserted anterogradely through the aortic valve over the guide wire without difficulty and the balloon catheter was inflated to a pressure of 6 atmospheres with a 30 seconds inflation-deflation cycle. Before the procedure the mean aortic valvular gradient was 114 mmHg and the aortic valve area was 0.30 cm2. After the procedure the mean aortic gradient had fallen to 60 mm Hg and the valve area had risen to 0.90 cm2. These results are comparable to those expected using the more usual retrograde balloon dilatation of the aortic valve.
G Grollier; P Commeau; D Agostini; C Durand; J P Foucault; J C Potier
Related Documents :
19805504 - Stented within a stentless aortic valve. a simple surgical solution for the replacement...
18248954 - Incidental diagnosis of unicuspid aortic valve in an asymptomatic adult.
10820934 - Intraoperative transoesophageal echocardiography in aortic valve surgery.
18377504 - Two diverticula of the left ventricular outflow tract adjacent to the commissures of a ...
288454 - Embolization of traumatic aneurysm of the maxillary artery.
25455544 - Hemodynamic outcomes of transcatheter aortic valve replacement and medical management i...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European heart journal     Volume:  8     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1987 Feb 
Date Detail:
Created Date:  1987-06-08     Completed Date:  1987-06-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  190-3     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Angioplasty, Balloon / instrumentation,  methods*
Aortic Valve Stenosis / therapy*
Blood Pressure
Calcinosis / therapy*
Cardiac Output
Heart Septum

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Melanoma dynein: evidence that dynein is a general "motor" for microtubule-associated cell motilitie...
Next Document:  Technetium Tc 99m plasmin in the diagnosis of inflammatory disease.