Open AccessHeart Failure and “Inoperable” Aortic Stenosis: Staged Balloon Aortic Valvuloplasty and Aortic Valve Bypass
Author(s) -
Zimrin David A.,
Reyes Peter A.,
Miller Kelly L.,
Fisher Stacy D.,
Griffith Bartley P.,
Gammie James S.
Publication year - 2008
Publication title -
congestive heart failure
Language(s) - English
Resource type - Journals
eISSN - 1751-7133
pISSN - 1527-5299
DOI - 10.1111/j.1751-7133.2008.07750.x
Subject(s) - medicine , aortic valvuloplasty , aortic valve replacement , stenosis , cardiology , balloon , heart failure , aortic valve , surgery , aortic valve repair , aortic valve stenosis , aorta , aortic root
The prognosis for patients with symptomatic aortic stenosis is poor but is improved significantly by surgical aortic valve replacement. Unfortunately, many patients are refused surgery because of age, comorbidities, and hemodynamic instability. This report describes the successful use of balloon aortic valvuloplasty as a bridge to aortic valve bypass surgery (apicoaortic conduit) in an elderly patient with class IV congestive heart failure and severe left ventricular systolic dysfunction as a consequence of aortic stenosis who was not a candidate for traditional surgical valve replacement.