Document Detail

Percutaneous balloon aortic valvuloplasty for aortic stenosis in elderly patients at high risk for surgery.
MedLine Citation:
PMID:  3565966     Owner:  NLM     Status:  MEDLINE    
Six elderly patients had percutaneous balloon aortic valvuloplasty for severe, symptomatic calcific aortic stenosis because valve replacement surgery was considered too risky in five patients with severe coexisting cardiac or other medical problems and because one patient refused to have surgery. The procedure resulted in a significant reduction in the mean (+/-SD) aortic valve gradient, from 47 +/- 13 to 32 +/- 12 mm Hg (change, -32%, p less than 0.01), and a significant increase in the mean area of the aortic valve, from 0.64 +/- 0.12 to 0.90 +/- 0.17 cm2 (change, +40%, p less than 0.001). Blood loss from the femoral puncture site was the only major procedural complication. At a mean follow-up of 2 months after the procedure, all patients were alive and dyspnea had improved by two New York Heart Association functional classes in four patients and by one functional class in two patients. A significant short-term increase in aortic valve area and alleviation in symptoms can be achieved safely by percutaneous balloon aortic valvuloplasty in elderly patients with severe calcific aortic stenosis who are at high risk for surgical complications.
J F Schneider; M Wilson; T E Gallant
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of internal medicine     Volume:  106     ISSN:  0003-4819     ISO Abbreviation:  Ann. Intern. Med.     Publication Date:  1987 May 
Date Detail:
Created Date:  1987-05-20     Completed Date:  1987-05-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372351     Medline TA:  Ann Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  696-9     Citation Subset:  AIM; IM    
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MeSH Terms
Aged, 80 and over
Aortic Valve Stenosis / pathology,  physiopathology,  therapy*
Calcinosis / therapy
Dilatation / adverse effects,  methods
Dyspnea / etiology,  therapy
Middle Aged

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