Key result
Emergency balloon aortic valvuloplasty reduced the transvalvular gradient from 81 to 33 mmHg and resolved acute pulmonary edema in an 84-year-old inoperable female with severe aortic stenosis.
Why the study?
High perioperative risk complicates surgical aortic valve replacement in elderly patients with severe aortic stenosis, prompting the evaluation of less invasive options like balloon aortic valvuloplasty.
Population
An 84-year-old female with severe aortic stenosis and pulmonary edema
Design
Case report
Follow-up
8 weeks
Authors
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Supports TAVR feasibility in high-risk elderly severe AS; leaves open need for prospective trials before practice change.
Case Report (n=1)
No
Balloon aortic valvuloplasty may serve as a temporary palliative or bridge therapy for inoperable patients with severe aortic stenosis and acute left ventricular failure.
Dovč et al. (2021) conducted a case report in Severe aortic stenosis and acute heart failure (n=1). Balloon aortic valvuloplasty was evaluated on Transvalvular gradient reduction and clinical improvement. Emergency balloon aortic valvuloplasty reduced the transvalvular gradient from 81 to 33 mmHg and resolved acute pulmonary edema in an 84-year-old inoperable female with severe aortic stenosis.
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