title: [Ultrasonic decalcification of the aortic valve. Initial experience].
abstract: We report our initial experience in 2 patients with degenerative calcific aortic stenosis who underwent ultrasonic debridement of the aortic valve. Compared with preoperative studies, doppler echocardiographic and hemodynamic evaluation before hospital discharge revealed a reduction in the mean aortic valve pressure gradient (80 and 65 mmHg to less than 10 mmHg). There was no change in aortic regurgitation grade. Follow-up doppler echocardiographic evaluation at four and six months showed no changes in gradient or regurgitation in the comparison to the postoperative data. Long-term results will show the convenience to attempt or not ultrasonic salvage of the native aortic valve in severe calcific stenosis.
authors.affiliation: Servicio de Cirugía Cardiovascular, Policlínica Guipúzcoa, San Sebastián.
authors.forename: I
authors.initials: I
authors.lastname: Gallo
authors.forename: A
authors.initials: A
authors.lastname: Sáenz
authors.forename: C
authors.initials: C
authors.lastname: Alonso
authors.forename: A
authors.initials: A
authors.lastname: Germán
authors.forename: F
authors.initials: F
authors.lastname: Cesari
authors.forename: I
authors.initials: I
authors.lastname: Alberdi
authors.forename: J
authors.initials: J
authors.lastname: Doxandabaratz
authors.forename: M
authors.initials: M
authors.lastname: Larmán
authors.forename: J L
authors.initials: JL
authors.lastname: Martínez de Ubago
mesh_terms: D000368:Aged; D001021:Aortic Valve; D001024:Aortic Valve Stenosis / Q000209:etiology / Q000628:therapy*; D002114:Calcinosis / Q000150:complications / Q000628:therapy*; D006349:Heart Valve Diseases / Q000150:complications / Q000628:therapy; D006801:Humans; D008297:Male; D014464:Ultrasonic Therapy
vernacular_title: Decalcificación ultrasónica de la válvula aórtica. Experiencia inicial.