[Balloon catheter valvuloplasty for calcified aortic stenosis in adults. Report of a case and review of the literature].
The first procedure of balloon valvuloplasty in adult calcific aortic stenosis was performed in Mexico on July 17 of 1987. It was a 69 year old female with calcific aortic stenosis and unstable, progressive angina pectoris. Cardiac catheterization showed trans-aortic gradient of 90 mmHg, minimal aortic regurgitation and ejection fraction of 85 percent. Aortic valvuloplasty was performed immediately after cardiac catheterization using the arterial retrograde way by means of a 15 mm. in diameter catheter initially and another of 18 mm. in diameter afterwards. At the end of procedure the gradient diminished to 56 mmHg and an slight increase of the aortic insufficiency was observed. The Doppler echocardiogram showed decreased severity of the stenosis. The patient was discharged asymptomatic and continued to do well for six months. She died suddenly after that period of time. A review of the literature is also presented.
López Cuellar
M
M
Hospital de Cardiología Luis Méndez, Centro Médico Nacional, I.M.S.S.
Díaz Arauzo
A
A
Jiménez Zepeda
D
D
Escudero Cañedo
X
X
Abundes Velasco
A
A
Parcero Valdez
J J
JJ
Escudero de la Peña
J
J
D000368:Aged; D001024:Aortic Valve Stenosis / Q000209:etiology / Q000628:therapy*; D002114:Calcinosis / Q000150:complications / Q000628:therapy*; D002404:Catheterization; D005260:Female; D006801:Humans
Valvuloplastía con catéter de balón en la estenosis aórtica calcificada del adulto. Reporte de un caso y revisión de la literatura.