Heart failure and "inoperable" aortic stenosis: staged balloon aortic valvuloplasty and aortic valve bypass.
The prognosis for patients with symptomatic aortic stenosis is poor but is improved significantly by surgical aortic valve replacement. Unfortunately, many patients are refused surgery because of age, comorbidities, and hemodynamic instability. This report describes the successful use of balloon aortic valvuloplasty as a bridge to aortic valve bypass surgery (apicoaortic conduit) in an elderly patient with class IV congestive heart failure and severe left ventricular systolic dysfunction as a consequence of aortic stenosis who was not a candidate for traditional surgical valve replacement.
Zimrin
David A
DA
University of Maryland School of Medicine, Division of Cardiology, Baltimore, MD 21201, USA. dzimrin@medicine.umaryland.edu
Reyes
Peter A
PA
Miller
Kelly L
KL
Fisher
Stacy D
SD
Griffith
Bartley P
BP
Gammie
James S
JS
D000369:Aged, 80 and over; D001021:Aortic Valve / Q000473:pathology / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D002114:Calcinosis; D006348:Cardiac Surgical Procedures; D002404:Catheterization; D006333:Heart Failure / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male