| Balloon aortic valvuloplasty. | |
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MedLine Citation:
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PMID: 9247553 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Balloon aortic valvuloplasty is a percutaneous, therapeutic option for patients with severe aortic stenosis, yet the effectiveness of this procedure is dependent on the morphology of the stenotic aortic valve and the respective mechanism of dilation. In younger patients with congenital aortic stenosis, acute and intermediate-term results are good. However, in adult patients, in whom degenerative aortic stenosis is the most common cause, the acute clinical and hemodynamic benefits of balloon aortic valvuloplasty are not lasting, as restenosis occurs in most patients within 6 months. Sympatomatic relief for adults undergoing balloon aortic valvuloplasty is only apparent in patients with normal left ventricular function, who generally are also candidates for aortic valve replacement. Furthermore, the long-term survival for adults after balloon aortic valvuloplasty is similar to the natural history of untreated severe aortic stenosis. In this article, the mechanism of balloon aortic valvuloplasty, as well as its clinical and hemodynamic effects, are reviewed in the context of the different morphological types of aortic stenosis. In addition, two large registries of adult patients treated with balloon aortic valvuloplasty provide important information regarding the acute and long-term results of this procedure and are reviewed. |
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Authors:
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A Wang; J K Harrison; T M Bashore |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Progress in cardiovascular diseases Volume: 40 ISSN: 0033-0620 ISO Abbreviation: Prog Cardiovasc Dis Publication Date: 1997 Jul-Aug |
Date Detail:
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Created Date: 1997-08-22 Completed Date: 1997-08-22 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 0376442 Medline TA: Prog Cardiovasc Dis Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 27-36 Citation Subset: AIM; IM |
Affiliation:
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Division of Cardiology, Duke University Medical Center, Durham, NC 27710, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aortic Valve Stenosis / etiology, mortality, therapy* Balloon Dilatation* / adverse effects, methods, mortality Heart Valve Prosthesis Humans Middle Aged Safety Survival Rate Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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