Transient acute severe aortic regurgitation complicating balloon aortic valvuloplasty.
Transient, acute severe aortic regurgitation documented by hemodynamic and Doppler-echocardiographic assessment was observed in an elderly woman immediately following balloon aortic valvuloplasty for critical aortic stenosis. Aortic regurgitation responded to medical therapy and resolved within 24 hr. Potential mechanisms are discussed. We suspect that an oversized balloon to aortic ring area stretched the annulus, separating the valve cusps and resulting in severe regurgitation, which rapidly normalized.
Department of Medicine, Miriam Hospital, Brown University, Providence, Rhode Island 02906.
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A
Sadaniantz
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R
Malhotra
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KS
Korr
D000208:Acute Disease; D000368:Aged; D001022:Aortic Valve Insufficiency / Q000209:etiology*; D001024:Aortic Valve Stenosis / Q000628:therapy*; D001794:Blood Pressure; D002114:Calcinosis / Q000628:therapy; D002404:Catheterization; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000628:therapy; D006801:Humans