Details

Autor(en) / Beteiligte

• López Cuellar, M
• Díaz Arauzo, A
• Jiménez Zepeda, D
• Escudero Cañedo, X
• Abundes Velasco, A
• Parcero Valdez, J J
• Escudero de la Peña, J

Titel

Balloon catheter valvuloplasty for calcified aortic stenosis in adults. Report of a case and review of the literature

Ist Teil von

• Archivos del Instituto de Cardiologia de Mexico, 1991-03, Vol.61 (2), p.123

Ort / Verlag

Mexico

Erscheinungsjahr

1991

Quelle

MEDLINE

Beschreibungen/Notizen

• The first procedure of balloon valvuloplasty in adult calcific aortic stenosis was performed in Mexico on July 17 of 1987. It was a 69 year old female with calcific aortic stenosis and unstable, progressive angina pectoris. Cardiac catheterization showed trans-aortic gradient of 90 mmHg, minimal aortic regurgitation and ejection fraction of 85 percent. Aortic valvuloplasty was performed immediately after cardiac catheterization using the arterial retrograde way by means of a 15 mm. in diameter catheter initially and another of 18 mm. in diameter afterwards. At the end of procedure the gradient diminished to 56 mmHg and an slight increase of the aortic insufficiency was observed. The Doppler echocardiogram showed decreased severity of the stenosis. The patient was discharged asymptomatic and continued to do well for six months. She died suddenly after that period of time. A review of the literature is also presented.