soon after successful results of balloon valvuloplasty in treatment of congenital pulmonary stenosis, use of this technique for relief of congenital aortic stenosis (as) was attempted in different parts of the world. with the purpose of assessment the value of valvuloplasty in comparison with surgical valvotomy in relief of congenital as, we retrospectively studied 115 patients with valvar as, ...

an 80-year-old diabetic man with severe aortic stenosis was admitted to our hospital for cardiogenic shock complicating non-st-elevation myocardial infarction. echocardiographic evaluation showed also a severe degree of both left ventricular dysfunction and mitral regurgitation. the patient was initially stabilized with inotropes and mechanical ventilation was necessary because of concurrent pu...

OBJECTIVES The goal of this study was to evaluate the role of percutaneous aortic valvuloplasty in patients with cardiogenic shock due to severe aortic stenosis and associated major comorbid conditions and to establish predictors of survival. BACKGROUND The prognosis for patients in cardiogenic shock with severe aortic stenosis is poor. Aortic valve replacement can be lifesaving, but the pres...

A 26-YEAR-OLD symptomatic female patient with severe aortic and mitral valve stenoses underwent aortic and mitral valve balloon valvuloplasty in the same setting. Aortic balloon valvuloplasty was first performed retrogradely using a polyethylene 20-mm balloon (Mansfield, USA), and mitral valvuloplasty was performed antegradely through transseptal technique using an Inoue 28-mm balloon (Toray, J...

Data from 204 children and infants who underwent aortic balloon valvuloplasty between 1982 and 1986, reported to the Valvuloplasty and Angioplasty of Congenital Anomalies Registry, were reviewed. Valvuloplasty was successful in 192 of 204 children, reducing the peak systolic left ventricular ejection gradient from 77 +/- 2 to 30 +/- 1 mm Hg, p less than 0.001. The same degree of aortic stenosis...

From 1986 to 1988, balloon aortic valvuloplasty was performed in 32 patients with congenital valvular aortic stenosis. The patients ranged in age from 2 days to 28 years (mean +/- SD 8.3 +/- 5.9). One balloon was used in 17 patients and two balloons were used in 15 patients. Immediately after valvuloplasty, peak systolic pressure gradient across the aortic valve decreased significantly from 77 ...

A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was, in patients with severe aortic stenosis, can balloon valvuloplasty be used as a bridge to aortic valve replacement? Altogether 463 papers were found using the reported search, of which 11 papers represented the best evidence to answer the clinical question. The authors, journal, ...

The objective of this study was to assess the effectiveness of balloon valvuloplasty in the young adult with congenital aortic stenosis and to compare its effectiveness with children. Percutaneous balloon valvuloplasty is effective in children with congenital aortic stenosis, but not in adults with acquired calcific aortic stenosis. Because effectiveness of balloon valvuloplasty in young adults...