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Percutaneous balloon valvuloplasty of aortic stenosis in 110 consecutive patients

  • E. Erdmann
  • W. v. Scheidt
  • K. Werdan
  • M. Hörmann
Conference paper

Abstract

Aortic valve replacement in symptomatic aortic valvular stenosis is the treatment of choice. However, there are many absolute or relative contraindications to open heart surgery: pulmonary congestion with pneumonia, fever and leukocytosis, respiratory insufficiency, cardiogenic shock, other serious diseases with organ failure, advanced age along with poor physical condition, bleeding disorders, etc. Recently, several groups have published encouraging results in patients with calcific aortic stenosis undergoing balloon valvuloplasty rather than aortic valve replacement surgery (1–13). Marked immediate improvement in hemodynamics and symptoms was noted almost universally. In view of the operative and perioperative risks involved in elderly patients undergoing surgery (14–16), an alternative treatment should be seriously considered. We therefore report our experience with balloon valvuloplasty of aortic stenosis in 110 consecutive patients. The purpose of this communication is to assess the immediate results and some follow up data in order to judge the efficacy of this relatively new method in interventional cardiology.

Keywords

Aortic Valve Aortic Stenosis Cardiogenic Shock Aortic Valve Replacement Surgical Aortic Valve Replacement 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Cribier A, Saodi N, Berland Jet al. (1986) Percutaneous transluminal valvuloplasty of acquired aortic stenosis in elderly patients: an alternative to valve replacement? Lancet 11: 63CrossRefGoogle Scholar
  2. 2.
    Cribier A, Savin T, Berland J et al. (1987) Percutaneous transluminal balloon valvuloplasty of adult aortic stenosis: report of 92 cases. JACC 9: 381PubMedCrossRefGoogle Scholar
  3. 3.
    Isner JM, Salem DN, Desnoyers MR et al. (1987) Treatment of calcific aortic stenosis by balloon valvuloplasty. Am J Cardiol 59: 313PubMedCrossRefGoogle Scholar
  4. 4.
    Schneider JF, Wilson M, Gallant TE (1987) Percutaneous balloon aortic valvuloplasty for aortic stenosis in elderly patients at high risk for surgery. Ann Intern Med 106: 696PubMedCrossRefGoogle Scholar
  5. 5.
    McKay RG, Safian RD, Lock JE et al. (1987) Assessment of left ventricular and aortic valve function after aortic balloon valvuloplasty in adult patietns with critical aortic stenosis. Circulation 75: 192PubMedCrossRefGoogle Scholar
  6. 6.
    Jackson G, Thomas S, Monaghan M et al. (1987) Inoperable aortic stenosis in the elderly: benefit from percutaneous transluminal valvuloplasty. Brit Med J 294: 83CrossRefGoogle Scholar
  7. 7.
    Holmes DR, Nishimura RA, Reeder GS (1987) Aortic and mitral balloon valvuloplasty: emergence of a new percutaneous technique. Int J Cardiol 16: 227PubMedCrossRefGoogle Scholar
  8. 8.
    Buehler JR, Braga SLN, Assis SF et al. (1987) Balloon valvuloplasty in calcific aortic stenosis: a therapeutic alternative. Int J Cardiol 16: 263CrossRefGoogle Scholar
  9. 9.
    Safian RD, Mandell VS, Thurer RE et al. (1987) Postmortem and intraoperative balloon valvuloplasty of calcific aortic stenosis in elderly patients: mechanism of successful dilatation. J Am Coll Cardiol 9: 655PubMedCrossRefGoogle Scholar
  10. 10.
    Scherer HE, Hörmann E, Engel HJ (1987) Ballondilatation verkalkter Aortenstenosen. Dtsch med Wschr 112: 1694PubMedCrossRefGoogle Scholar
  11. 11.
    Erdmann E, Höfling B (1987) Perkutane transfemorale Valvuloplastie der verkalkten und nicht verkalkten Aortenklappe. Dtsch med Wschr 112: 1067PubMedCrossRefGoogle Scholar
  12. 12.
    Erdmann E, Werdan K, v. Scheidt W, Hörmann M (1988) Ballondilatation der verkalkten Aortenklappenstenose. Munch med Wschr 130: 51Google Scholar
  13. 13.
    Safian RD, Berman AD, Diver DJ et al. (1988) Balloon aortic valvuloplasty in 179 consecutive patients. N Engl J Med 319: 125PubMedCrossRefGoogle Scholar
  14. 14.
    de Vivie ER, Eisenschenk A, Neuhaus KL et al. (1986) Klappenersatz bei Patienten über 70 Jahre. Z Kardiol 75: 379PubMedGoogle Scholar
  15. 15.
    Edmunds Jr LH, Stephenson LW, Edie RE et al. (1988) Open heart surgery in octogenarians. N Eng] J Med 319: 131CrossRefGoogle Scholar
  16. 16.
    Magovern JA, Pennock JL, Campbell DB, et al. (1987) Aortic valve replacement and combined aortic valve replacement and coronary artery bypass grafting: predicting high risk groups. J Am Coll Cardiol 9: 38PubMedCrossRefGoogle Scholar
  17. 17.
    Mathews AW, Barritt DDW, Keen GE, Betsey RH. (1974) Preoperative mortality in aortic stenosis. Brit Heart J 36: 101CrossRefGoogle Scholar
  18. 18.
    Horstkotte D, Loogen F (1987) Erworbene Klappenfehler. Urban und Schwarzenberg, München, Wien BaltimoreGoogle Scholar
  19. 19.
    Robicsek F, Harbold NB, Daugherty HK et al. (1988) Balloon valvuloplasty in calcified aortic stenosis: a cause of caution and alarm. Ann Thorac Surg 1988 45: 515Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • E. Erdmann
    • 1
  • W. v. Scheidt
    • 1
  • K. Werdan
    • 1
  • M. Hörmann
    • 1
  1. 1.Department of Medicine I, Klinikum GroßhadernUniversity of MunichMunichGermany

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