title: Time to revisit role of transcatheter balloon aortic valvuloplasty: a bridge-therapy to subsequent treatment case report.
abstract: Recently there has been a noticeable resurgence in the usage of percutaneous balloon aortic valvuloplasty (BAV) by the development of less invasive endovascular therapies including transcatheter aortic valve implantation (TAVI). We performed BAV in a 91-year-old man with end-stage severe symptomatic aortic stenosis (AS) and an impending abdominal aortic aneurysm (AAA) rupture who had been refused surgical treatment because of the comorbidities with stage V chronic kidney disease (CKD) and severe left ventricular dysfunction. Improvement in hemodynamics and kidney function was observed after BAV. Subsequently, we performed endovascular aneurysm repair (EVAR) successfully for AAA using iodinated contrast. No deterioration of kidney function was confirmed after the procedure. The patient was discharged without any adverse events. At present, the possibilities of TAVI or surgical aortic valve replacement (s-AVR) are under consideration as the definitive therapy for the upcoming aortic valve restenosis. In conclusion, this inoperable patient with multiple comorbidities was successfully treated, at lower risk, by catheter-based two-stage therapy.
authors: Department of Cardiology, Kawasaki Municipal Hospital, Shinkawa-dori 12-1, Kawasaki-ku, Kawasaki-shi, Kanagawa, 210-0013, Japan. frtakr@gmail.com
authors: Akira
authors: A
authors: Furuta
authors: Hideyuki
authors: H
authors: Shimizu
authors: Takashi
authors: T
authors: Hachiya
authors: Yohei
authors: Y
authors: Ohno
authors: Hiroyuki
authors: H
authors: Kawajiri
authors: Akio
authors: A
authors: Kawamura
authors: Kiyokazu
authors: K
authors: Kokaji
authors: Ryohei
authors: R
authors: Yozu
authors: Keiichi
authors: K
authors: Fukuda
mesh_terms: D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D063126:Balloon Valvuloplasty; D019917:Blood Vessel Prosthesis Implantation; D006328:Cardiac Catheterization; D004562:Electrocardiography; D022062:Electrophysiologic Techniques, Cardiac; D057510:Endovascular Procedures; D006439:Hemodynamics; D006801:Humans; D008297:Male; D020127:Recovery of Function; D051436:Renal Insufficiency, Chronic / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome