| Percutaneous transluminal balloon aortic valvuloplasty with a small balloon as a bridge to surgery for severe aortic stenosis in an 83-year-old patient. | |
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MedLine Citation:
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PMID: 14621025 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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An 83-y-old man was admitted to our hospital with pneumonia and critical cardiac failure. He had severe calcific stenosis of a bicuspid aortic valve, with a pressure gradient of about 100 mmHg, poor left ventricular function and an ascending aortic aneurysm. His family requested the surgery, but there was an unacceptably high surgical risk because of the presence of serious infection. We tried percutaneous transluminal balloon aortic valvuloplasty (PTAV) with a small sized (12 mm) peripheral percutaneous transluminal angioplasty balloon as a bridge to surgery. We managed to control his critical hemodynamics and infection after the procedure. Thereafter, he underwent successful aortic valve replacement and ascending aorta replacement. PTAV may be a useful palliative therapy, but there are various procedure-related complications. To avoid such complications, we used a small sized balloon. Actually we could not completely normalize the pressure gradient, but it was enough to control his critical cardiac failure until he could undergo surgery. |
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Authors:
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Hideki Kitamura; Takahiro Doi; Hitoshi Okabayashi; Ichiro Shimada; Michiya Hanyu; Yuhei Saitoh |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi Volume: 51 ISSN: 1344-4964 ISO Abbreviation: Jpn. J. Thorac. Cardiovasc. Surg. Publication Date: 2003 Oct |
Date Detail:
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Created Date: 2003-11-17 Completed Date: 2003-12-23 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100884261 Medline TA: Jpn J Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 562-4 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Kokura Memorial Hospital, Kifunemachi 1-1, Kitakyushu, Fukuoka 802-8555, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Angioplasty, Balloon / methods* Aortic Valve / pathology Aortic Valve Stenosis / surgery, therapy* Bioprosthesis Blood Vessel Prosthesis Implantation Calcinosis / surgery Humans Male |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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