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Emergent balloon aortic valvuloplasty as a bridge to transcatheter aortic valve implantation with marked risk reduction of perioperative and postoperative mortality

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Abstract

We report the case of an 87-year-old woman with severe aortic stenosis who presented acutely with cardiogenic shock. Considering her severe condition, we concluded that she would not be able to undergo aortic valve replacement. Life-saving emergent balloon aortic valvuloplasty was performed under general anesthesia. There were no postoperative complications, and she was discharged on the 36th hospital day. Shortness of breath with severe aortic stenosis recurred 5 months later. Elective transcatheter aortic valve implantation was performed successfully, and the patient was discharged without complications. Sixteen months on, she is enjoying an active life without disease symptoms.

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Acknowledgments

We would like to express our profound gratitude to Kenichi Hagiya, Ryosuke Higuchi, Itaru Takamizawa, Atsushi Seki, and Nobuo Iguchi for their great advice and suggestions.

Conflict of interest

The authors have no financial conflicts of interest to disclose concerning this paper.

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Authors and Affiliations

  1. Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan

    Hiroshi Fukunaga, Michiaki Higashitani, Tetsuya Tobaru, Keitaro Mahara & Morimasa Takayama

  2. Department of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo, Japan

    Shuichiro Takanashi

Authors
  1. Hiroshi Fukunaga
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  2. Michiaki Higashitani
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  3. Tetsuya Tobaru
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  4. Keitaro Mahara
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  5. Shuichiro Takanashi
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  6. Morimasa Takayama
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Corresponding author

Correspondence to Michiaki Higashitani.

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Fukunaga, H., Higashitani, M., Tobaru, T. et al. Emergent balloon aortic valvuloplasty as a bridge to transcatheter aortic valve implantation with marked risk reduction of perioperative and postoperative mortality. Cardiovasc Interv and Ther 31, 151–155 (2016). https://doi.org/10.1007/s12928-015-0331-7

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  • DOI: https://doi.org/10.1007/s12928-015-0331-7

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