Time to revisit role of transcatheter balloon aortic valvuloplasty: A bridge-therapy to subsequent treatment case report

Akira Furuta, Hideyuki Shimizu, Takashi Hachiya, Yohei Ohno, Hiroyuki Kawajiri, Akio Kawamura, Kiyokazu Kokaji, Ryohei Yozu, Keiichi Fukuda

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Recently there has been a noticeable resurgence in the usage of percutaneous balloon aortic valvuloplasty (BAV) by the development of less invasive endovascular therapies including transcatheter aortic valve implantation (TAVI). We performed BAV in a 91-year-old man with end-stage severe symptomatic aortic stenosis (AS) and an impending abdominal aortic aneurysm (AAA) rupture who had been refused surgical treatment because of the comorbidities with stage V chronic kidney disease (CKD) and severe left ventricular dysfunction. Improvement in hemodynamics and kidney function was observed after BAV. Subsequently, we performed endovascular aneurysm repair (EVAR) successfully for AAA using iodinated contrast. No deterioration of kidney function was confirmed after the procedure. The patient was discharged without any adverse events. At present, the possibilities of TAVI or surgical aortic valve replacement (s-AVR) are under consideration as the definitive therapy for the upcoming aortic valve restenosis. In conclusion, this inoperable patient with multiple comorbidities was successfully treated, at lower risk, by catheter-based two-stage therapy.

Original languageEnglish
Pages (from-to)397-400
Number of pages4
JournalHeart and vessels
Volume28
Issue number3
DOIs
Publication statusPublished - 2013 May 1

Keywords

  • Aortic aneurysm
  • Aortic stenosis
  • Chronic kidney disease
  • Valvuloplasty
  • Vascular disease

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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