Aortic Valve Replacement after Balloon Valvuloplasty for Aortic Valve Stenosis in a Dialysis Patient with Cardiogenic Shock;Report of a Case

Masanori Takamatsu, Takashi Hirotani, Satoshi Ohtsubo, Sumikatsu Saito, Shigeyuki Takeuchi, Tasuku Hasegawa, Ayaka Endo, Yu Yamasaki, Kentaro Hayashida

Research output: Contribution to journalArticle

Abstract

A 67-year-old man on chronic hemodialysis was admitted with worsening congestive heart failure due to critical aortic stenosis. Echocardiography showed severe aortic stenosis with a valve area of 0.67 cm2 and an ejection fraction of 0.31. Cardiac catheterization revealed severe pulmonary hypertension with pulmonary artery pressures of 62/32 mmHg. In the middle of cardiac catheterization, the systolic pressure declined to 60 mmHg due to cardiogenic shock. Dopamine hydrochloride and dobutamine hydrochloride infusions were necessary to maintain a systolic pressure greater than 80 mmHg. Balloon aortic valvuloplasty was urgently performed. The patient's symptoms rapidly resolved except for angina on exertion. One month later, elective aortic valve replacement was performed. The postoperative course was uneventful and the he was discharged on the 60th postoperative day. A follow-up echocardiogram 6 months postoperatively revealed normal prosthetic valve function and an ejection fraction of 0.6.

Original languageEnglish
Pages (from-to)460-464
Number of pages5
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume68
Issue number6
Publication statusPublished - 2015 Jun 1
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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    Takamatsu, M., Hirotani, T., Ohtsubo, S., Saito, S., Takeuchi, S., Hasegawa, T., Endo, A., Yamasaki, Y., & Hayashida, K. (2015). Aortic Valve Replacement after Balloon Valvuloplasty for Aortic Valve Stenosis in a Dialysis Patient with Cardiogenic Shock;Report of a Case. Kyobu geka. The Japanese journal of thoracic surgery, 68(6), 460-464.