Top

Cardiovascular Intervention and Therapeutics

Published in:

01-04-2016 | Case Report

Emergent balloon aortic valvuloplasty as a bridge to transcatheter aortic valve implantation with marked risk reduction of perioperative and postoperative mortality

Authors: Hiroshi Fukunaga, Michiaki Higashitani, Tetsuya Tobaru, Keitaro Mahara, Shuichiro Takanashi, Morimasa Takayama

Published in: Cardiovascular Intervention and Therapeutics | Issue 2/2016

Abstract

We report the case of an 87-year-old woman with severe aortic stenosis who presented acutely with cardiogenic shock. Considering her severe condition, we concluded that she would not be able to undergo aortic valve replacement. Life-saving emergent balloon aortic valvuloplasty was performed under general anesthesia. There were no postoperative complications, and she was discharged on the 36th hospital day. Shortness of breath with severe aortic stenosis recurred 5 months later. Elective transcatheter aortic valve implantation was performed successfully, and the patient was discharged without complications. Sixteen months on, she is enjoying an active life without disease symptoms.

Nkomo VT, Gardin JM, Skelton TN, Gottdiener JS, Scott CG, Enriquez-Sarano M. Burden of valvular heart diseases: a population-based study. Lancet. 2006;368:1005–11.CrossRefPubMed

Bouma BJ, van den Brink RBA, van der Meulen JHP, Verheul HA, Cheriex EC, Hamer HPM, et al. To operate or not on elderly patients with aortic stenosis: the decision and its consequences. Heart. 1999;82:143–8.CrossRefPubMedPubMedCentral

Cribier A, Savin T, Saoudi N, Rocha P, Berland J, Letac B, et al. Percutaneous transluminal valvuloplasty of acquired aortic stenosis in elderly patients: an alternative to valve replacement. Lancet. 1986;1:63–7.CrossRefPubMed

Pillai AA, Ramasamy C, Saktheeshwaran M, Selvaraj R, Satheesh S, Jayaraman B. Balloon valvuloplasty in rheumatic aortic valve stenosis: immediate and long-term results. Cardiovasc Interv Ther. 2015;30:45–50.CrossRefPubMed

Ben-Dor I, Pichard AD, Satler LF, Goldstein SA, Syed AI, Gaglia MA, et al. Complications and outcome of balloon aortic valvuloplasty in high-risk or inoperable patients. JACC Cardiovasc Interv. 2010;3(11):1150–6.CrossRefPubMed

Hara H, Schwartz RS. Transcatheter aortic valve implantation in high-risk patients with severe aortic stenosis. Circ J. 2010;74:1513–7.CrossRefPubMed

Leon MB, Smith CR, Mack M, Miller DC, Moses JW, Svensson LG, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010;363:1597–607.CrossRefPubMed

Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP III, Guyton RA, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;129:e521–43.CrossRefPubMed

Saia F, Marrozzini C, Moretti C, Ciuca C, Taglieri N, Bordoni B, et al. The role of percutaneous balloon aortic valvuloplasty as a bridge for transcatheter aortic valve implantation. EuroIntervention. 2011;7:723–9.CrossRefPubMed

10.

Saia F, Marrozzini C, Ciuca C, Guastaroba P, Taglieri N, Palmerini T, et al. Emerging indications, in-hospital and long-term outcome of balloon aortic valvuloplasty in the transcatheter aortic valve implantation era. EuroIntervention. 2013;8:1388–97.CrossRefPubMed

11.

Hannan EL, Samadashvili Z, Lahey SJ, Smith CR, Culliford AT, Higgins RSD, et al. Aortic valve replacement for patients with severe aortic stenosis: risk factors and their impact on 30-month mortality. Ann Thorac Surg. 2009;87:1741–50.CrossRefPubMed

12.

Drews T, Pasic M, Buz S, d’Ancona G, Dreysse S, Kukucka M, et al. Transcatheter aortic valve implantation in very high-risk patients with EuroSCORE of more than 40%. Ann Thorac Surg. 2013;95:85–93.CrossRefPubMed

13.

Yamazaki K, Hara H, Yamashita Y, Takenaka H, Nakamura M, et al. Emergency percutaneous balloon aortic valvuloplasty using a triple balloon technique to a patient with severe aortic stenosis. Cardiovasc Interv Ther. 2013;28:403–7.CrossRefPubMed

14.

Green P, Woglom AE, Genereux P, Daneault B, Paradis J-M, Schnell S, et al. The impact of frailty status on survival after transcatheter aortic valve replacement in older adults with severe aortic stenosis. JACC Cardiovasc Interv. 2012;5:974–81.CrossRefPubMedPubMedCentral

15.

Saji M, Murai T, Tobaru T, Tabata M, Takanashi S, Takayama M. Autopsy finding of the Sapien XT valve from a patient who died suddenly after transcatheter aortic valve replacement. Cardiovasc Interv Ther. 2013;28:267–71.CrossRefPubMed

Title: Emergent balloon aortic valvuloplasty as a bridge to transcatheter aortic valve implantation with marked risk reduction of perioperative and postoperative mortality
Authors: Hiroshi Fukunaga
Michiaki Higashitani
Tetsuya Tobaru
Keitaro Mahara
Shuichiro Takanashi
Morimasa Takayama
Publication date: 01-04-2016
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 2/2016
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-015-0331-7

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Emergent balloon aortic valvuloplasty as a bridge to transcatheter aortic valve implantation with marked risk reduction of perioperative and postoperative mortality

Abstract

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2016

Acute compartment syndrome occurring in forearm with relatively small amount of hematoma following transradial coronary intervention

Use of the GuideLiner catheter for aspiration thrombectomy in a patient with ST-elevation myocardial infarction with a large intracoronary thrombus

Ruptured saphenous vein graft pseudoaneurysm successfully treated with covered stents

Externalization of a stiff guide wire via the radial artery: a new technique to facilitate advancement of an Inoue balloon across the aortic valve in patients with aortic stenosis undergoing antegrade balloon aortic valvuloplasty

Percutaneous reconstruction of chronic total occlusion of brachiocephalic vein using transseptal needle in dialysis-dependent patient

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page