Balloon Aortic Valvuloplasty as a Bridge to Liver Transplantation in Patients With Severe Aortic Stenosis: A Case Series

2014 ◽  
Vol 46 (10) ◽  
pp. 3492-3495 ◽  
Author(s):  
P. Kalarickal ◽  
Q. Liu ◽  
R. Rathor ◽  
S. Ishag ◽  
T. Kerr ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Aortic Stenosis ◽  
Severe Aortic Stenosis ◽  
Case Series ◽  
Balloon Aortic Valvuloplasty ◽  
Aortic Valvuloplasty

scholarly journals Aortic Balloon Valvuloplasty Prior to Orthotopic Liver Transplantation: A Novel Approach to Aortic Stenosis and End-Stage Liver Disease

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Edward Coverstone ◽  
Kevin Korenblat ◽  
Jeffrey S. Crippin ◽  
William C. Chapman ◽  
Andrew M. Kates ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Liver Disease ◽  
Aortic Valve ◽  
Aortic Stenosis ◽  
Orthotopic Liver Transplantation ◽  
Severe Aortic Stenosis ◽  
Balloon Aortic Valvuloplasty ◽  
End Stage Liver Disease ◽  
Aortic Valvuloplasty ◽  
End Stage

The combination of severe aortic stenosis and end-stage liver disease increases the morbidity and mortality of surgical aortic valve replacement or orthotopic liver transplantation resulting in a prohibitive operative risk. We propose a staged approach of balloon aortic valvuloplasty prior to orthotopic liver transplantation as a bridge to definitive aortic valve replacement. Between 2010 and 2012, four patients with severe aortic stenosis and end-stage liver disease underwent staged balloon aortic valvuloplasty followed by orthotopic liver transplantation. All patients had been deemed to be inappropriate candidates for liver transplantation or aortic valve surgery due to their comorbidity. One patient died of complications from a perivalvular abscess. Three patients went on to successful graft implantation and function and surgical recovery. Two of the three patients proceeded to definitive surgical aortic valve replacement with the remainder currently undergoing evaluation. In this case series, we present a novel approach of balloon aortic valvuloplasty prior to liver transplantation as a potential bridge to definitive treatment of severe aortic stenosis in the end-stage liver patient.

A Novel Approach: Trans-ascending Aorta Balloon Aortic Valvuloplasty via Sternotomy for Treating Severe Valvular Aortic Stenosis in a Low-Weight Infant

2014 ◽  
Vol 17 (1) ◽  
pp. 25 ◽  
Author(s):  
Lei Gao ◽  
Qin Wu ◽  
Xinhua Xu ◽  
Tianli Zhao ◽  
Wancun Jin ◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Transesophageal Echocardiography ◽  
Severe Aortic Stenosis ◽  
Ascending Aorta ◽  
Balloon Aortic Valvuloplasty ◽  
Congenital Aortic Stenosis ◽  
Novel Approach ◽  
Low Weight ◽  
Aortic Valvuloplasty ◽  
Peak Gradient

<p><b>Background:</b> Severe congenital aortic stenosis in infants is a life-threatening congenital heart anomaly that is typically treated using percutaneous balloon aortic valvuloplasty.</p><p><b>Methods:</b> The usual route is the femoral artery under radiographic guidance. However, this procedure may be limited by the small size of the femoral artery in low-weight infants. An infant weighing only 7 kg with severe aortic stenosis (peak gradient was 103 mmHg) was successfully treated with a novel approach, that is trans-ascending aorta balloon aortic valvuloplasty guided by transesophageal echocardiography.</p><p><b>Results:</b> The patient tolerated the procedure well, and no major complications developed. After the intervention, transesophageal echocardiography indicated a significant reduction of the aortic valvular peak gradient from 103 mmHg to 22 mmHg, no aortic regurgitation was found. Eighteen months after the intervention, echocardiography revealed that the aortic valvular peak gradient had increased to 38 mmHg and that still no aortic regurgitation had occurred.</p><p><b>Conclusions:</b> In our limited experience, trans-ascending aorta balloon aortic valvuloplasty for severe aortic stenosis under transesophageal echocardiography guidance effectively reduces the aortic peak gradient. As this is a new procedure, long-term follow up and management will need to be established. It may be an alternative technique to treat congenital aortic stenosis in low-weight patients.</p>

scholarly journals Antegrade Balloon Aortic Valvuloplasty for the Highly Frail Patient of Severe Aortic Stenosis Complicated with Transthyretin-type Cardiac Amyloidosis

2020 ◽  
Vol 59 (8) ◽  
pp. 1053-1057
Author(s):  
Shohei Yoshida ◽  
Hayato Tada ◽  
Tetsuo Nishikawa ◽  
Tamami Nakagawa-Kamiya ◽  
Takuya Nakahashi ◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Cardiac Amyloidosis ◽  
Severe Aortic Stenosis ◽  
Balloon Aortic Valvuloplasty ◽  
Frail Patient ◽  
Aortic Valvuloplasty

scholarly journals Balloon aortic valvuloplasty for urgent treatment of severe aortic stenosis during coronavirus disease 2019 pandemic: a case report

2020 ◽  
Vol 7 (6) ◽  
pp. 4348-4352
Author(s):  
Tiziana Attisano ◽  
Angelo Silverio ◽  
Michele Bellino ◽  
Carlo Tumscitz ◽  
Fabio Felice Tarantino ◽  
...  
Keyword(s):  
Case Report ◽  
Aortic Stenosis ◽  
Severe Aortic Stenosis ◽  
Balloon Aortic Valvuloplasty ◽  
Aortic Valvuloplasty

Acute and long-term outcomes of percutaneous balloon aortic valvuloplasty for the treatment of severe aortic stenosis

2016 ◽  
Vol 90 (2) ◽  
pp. 303-310 ◽  
Author(s):  
Marzena Daniec ◽  
Bartłomiej Nawrotek ◽  
Danuta Sorysz ◽  
Tomasz Rakowski ◽  
Artur Dziewierz ◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Severe Aortic Stenosis ◽  
Long Term Outcomes ◽  
Balloon Aortic Valvuloplasty ◽  
Percutaneous Balloon ◽  
Aortic Valvuloplasty
Sign in / Sign up

Export Citation Format

Share Document