Document Detail

Is there any indication for aortic valvuloplasty in the elderly?
MedLine Citation:
PMID:  12732815     Owner:  NLM     Status:  MEDLINE    
Elderly patients with severe symptomatic calcific aortic stenosis do poorly with medical management. The optimal treatment for this group of patients is surgical valve replacement. Balloon valvuloplasty may be useful as a bridge to aortic valve replacement in hemodynamically unstable patients, in patients undergoing emergent noncardiac surgery, and in patients with severe comorbidities who are too ill to undergo cardiac surgery. Balloon valvuloplasty often results in symptomatic improvement; however, the postvalvuloplasty valve area is usually <1.0 cm2, the major periprocedural complication rate is roughly 5%, and the 6-month restenosis rate is quite high. There is no evidence that balloon valvuloplasty alters the natural history of aortic stenosis, although no randomized study has been performed.
Kent W Dauterman; Andrew D Michaels; Thomas A Ports
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American journal of geriatric cardiology     Volume:  12     ISSN:  1076-7460     ISO Abbreviation:  Am J Geriatr Cardiol     Publication Date:    2003 May-Jun
Date Detail:
Created Date:  2003-05-06     Completed Date:  2003-07-25     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9215283     Medline TA:  Am J Geriatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  190-6     Citation Subset:  IM    
Copyright Information:
Copyright 2003 Le Jacq Communications, Inc.
Department of Medicine, Division of Cardiology, Interventional Cardiology, Cardiovascular Research Institute, University of California San Francisco Medical Center, San Francisco, CA 94143-0124, USA.
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MeSH Terms
Aortic Valve Stenosis / surgery,  therapy*
Balloon Dilatation* / statistics & numerical data
Calcinosis / surgery,  therapy*
Registries / statistics & numerical data

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