title: Judkins right guiding catheter bailed out acute aortic insufficiency during balloon aortic valvuloplasty.
abstract: The introduction of transcatheter aortic valve implantation focuses attention on balloon aortic valvuloplasty (BAV) once again. BAV is effective for several clinical conditions, but fatal complications including acute severe aortic insufficiency may occur, although rare. We report a case of acute aortic insufficiency occurring during BAV, which was bailed out remarkably by the catheter method. When acute aortic insufficiency occurs during BAV, this simple and effective procedure should be attempted before conversion to emergency surgery.
authors.affiliation: Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan. rhiguchi@shi.heart.or.jp.
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Higuchi
authors.affiliation: Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Tobaru
authors.affiliation: Department of Cardiovascular Surgery, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Naito
authors.affiliation: Department of Anesthesiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan.
authors.forename: Jun
authors.initials: J
authors.lastname: Shimizu
authors.affiliation: Department of Cardiovascular Surgery, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan.
authors.forename: Shuichiro
authors.initials: S
authors.lastname: Takanashi
authors.affiliation: Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan.
authors.forename: Morimasa
authors.initials: M
authors.lastname: Takayama
mesh_terms: D000208:Acute Disease; D000369:Aged, 80 and over; D000792:Angiography; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D063126:Balloon Valvuloplasty / Q000009:adverse effects*; D004452:Echocardiography; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D012086:Reoperation; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods*
keywords: Acute aortic insufficiency; Aortic stenosis; Balloon aortic valvuloplasty; Leaflet entrapment