Balloon aortic valvuloplasty as a bridge to aortic valve replacement in critically ill patients.
This report highlights our experience in 5 patients with severe aortic stenosis and multiple organ failure undergoing balloon aortic valvuloplasty as a bridge to conventional aortic valve replacement. Balloon aortic valvuloplasty successfully stabilized the condition of these patients, improved organ function, and decreased their baseline risk profile. Elective aortic valve replacement was then performed without complications. Short-term palliation with balloon aortic valvuloplasty should be considered as a bridge to aortic valve replacement in selected patients with critical aortic stenosis and multiple organ failure.
Smedira
N G
NG
Department of Surgery, University of California, San Francisco 94143-0118.
Ports
T A
TA
Merrick
S H
SH
Rankin
J S
JS
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000601:surgery / Q000628:therapy*; D002114:Calcinosis / Q000601:surgery; D002302:Cardiac Output; D002404:Catheterization; D003131:Combined Modality Therapy; D003422:Critical Care; D005260:Female; D006333:Heart Failure / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000628:therapy*