title: [Aortic valve replacement for recurrent aortic stenosis after percutaneous transluminal balloon aortic valvuloplasty( PTAV) in a cancer patient].
abstract: We report a case of aortic valve replacement( AVR) for recurrent aortic stenosis(AS) after percutaneous transluminal balloon aortic valvuloplasty( PTAV) in a patient with left renal pelvis carcinoma. A 65-year-old female had been suffering from shortness of breath and syncope due to severe AS. She was considered to be a candidate for AVR. Preoperative examination revealed advanced left renal pelvis carcinoma that was a critical comorbidity for AVR. Ureteronephrectomy was also considered to be a contraindication. Despite conservative treatment, her condition was deteriorated. Emergency PTAV was performed when she was transferred to our hospital with circulatory shock. Her symptoms were ameliorated and left ureteronephrectomy was conducted 8 month after the PTAV. She was readmitted to our hospital 16 month after the PTAV and AVR was performed successfully.Antegrade transseptal PTAV is a very useful palliative therapy for AS with severe comorbidities as a bridge to surgery.
authors.affiliation: Department of Cardiovascular Surgery, Ikegami General Hospital Heart Center, Tokyo, Japan.
authors.forename: Kensuke
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Yukio
authors.initials: Y
authors.lastname: Suto
authors.forename: Okihiko
authors.initials: O
authors.lastname: Akashi
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Sakata
authors.forename: Yasufumi
authors.initials: Y
authors.lastname: Hayama
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D063126:Balloon Valvuloplasty / Q000379:methods*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications*; D010166:Palliative Care; D012008:Recurrence