Percutaneous balloon aortic valvotomy
We report our first case of percutaneous balloon aortic valvotomy in a 72-year-old Chinese female with critical aortic stenosis and carcinoma of the stomach. The presence of critical aortic stenosis (mean aortic pressure gradient of 65 mmHg and an aortic valve area of 0.5 cm2) placed her at a high r...
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| Veröffentlicht in: | Singapore medical journal 1993-06, Vol.34 (3), p.208-210 |
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| container_title | Singapore medical journal |
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| creator | NG, K. S TAN, A. T. H CHAN, C. N. S DING, Z. P |
| description | We report our first case of percutaneous balloon aortic valvotomy in a 72-year-old Chinese female with critical aortic stenosis and carcinoma of the stomach. The presence of critical aortic stenosis (mean aortic pressure gradient of 65 mmHg and an aortic valve area of 0.5 cm2) placed her at a high risk for gastrectomy. After balloon valvotomy of the aortic valve, the mean pressure gradient fell to 21 mmHg and the aortic valvular area increased to 1.0 cm2. She improved clinically and subsequently underwent surgery with no haemodynamic complication. Overseas experience has shown that percutaneous balloon valvotomy can be done with little technical difficulty and excellent patient tolerance, resulting in good haemodynamic and clinical improvement and a low acute complication rate. Present follow-up data however suggest significant mortality and restenosis rates at the end of one year. Percutaneous balloon aortic valvotomy (PBAV) has a significant though narrowly defined role in the management of patients with severe calcific aortic stenosis. |
| format | Article |
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S ; TAN, A. T. H ; CHAN, C. N. S ; DING, Z. P</creator><creatorcontrib>NG, K. S ; TAN, A. T. H ; CHAN, C. N. S ; DING, Z. P</creatorcontrib><description>We report our first case of percutaneous balloon aortic valvotomy in a 72-year-old Chinese female with critical aortic stenosis and carcinoma of the stomach. The presence of critical aortic stenosis (mean aortic pressure gradient of 65 mmHg and an aortic valve area of 0.5 cm2) placed her at a high risk for gastrectomy. After balloon valvotomy of the aortic valve, the mean pressure gradient fell to 21 mmHg and the aortic valvular area increased to 1.0 cm2. She improved clinically and subsequently underwent surgery with no haemodynamic complication. Overseas experience has shown that percutaneous balloon valvotomy can be done with little technical difficulty and excellent patient tolerance, resulting in good haemodynamic and clinical improvement and a low acute complication rate. Present follow-up data however suggest significant mortality and restenosis rates at the end of one year. Percutaneous balloon aortic valvotomy (PBAV) has a significant though narrowly defined role in the management of patients with severe calcific aortic stenosis.</description><identifier>ISSN: 0037-5675</identifier><identifier>PMID: 8266174</identifier><identifier>CODEN: SIMJA3</identifier><language>eng</language><publisher>Singapore: Singapore Medical Association</publisher><subject>Adenocarcinoma - complications ; Aged ; Aortic Valve Insufficiency - complications ; Aortic Valve Insufficiency - therapy ; Aortic Valve Stenosis - complications ; Aortic Valve Stenosis - therapy ; Biological and medical sciences ; Catheterization ; Female ; Humans ; Medical sciences ; Stomach Neoplasms - complications ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart</subject><ispartof>Singapore medical journal, 1993-06, Vol.34 (3), p.208-210</ispartof><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3812321$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8266174$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>NG, K. S</creatorcontrib><creatorcontrib>TAN, A. T. H</creatorcontrib><creatorcontrib>CHAN, C. N. S</creatorcontrib><creatorcontrib>DING, Z. P</creatorcontrib><title>Percutaneous balloon aortic valvotomy</title><title>Singapore medical journal</title><addtitle>Singapore Med J</addtitle><description>We report our first case of percutaneous balloon aortic valvotomy in a 72-year-old Chinese female with critical aortic stenosis and carcinoma of the stomach. The presence of critical aortic stenosis (mean aortic pressure gradient of 65 mmHg and an aortic valve area of 0.5 cm2) placed her at a high risk for gastrectomy. After balloon valvotomy of the aortic valve, the mean pressure gradient fell to 21 mmHg and the aortic valvular area increased to 1.0 cm2. She improved clinically and subsequently underwent surgery with no haemodynamic complication. Overseas experience has shown that percutaneous balloon valvotomy can be done with little technical difficulty and excellent patient tolerance, resulting in good haemodynamic and clinical improvement and a low acute complication rate. Present follow-up data however suggest significant mortality and restenosis rates at the end of one year. Percutaneous balloon aortic valvotomy (PBAV) has a significant though narrowly defined role in the management of patients with severe calcific aortic stenosis.</description><subject>Adenocarcinoma - complications</subject><subject>Aged</subject><subject>Aortic Valve Insufficiency - complications</subject><subject>Aortic Valve Insufficiency - therapy</subject><subject>Aortic Valve Stenosis - complications</subject><subject>Aortic Valve Stenosis - therapy</subject><subject>Biological and medical sciences</subject><subject>Catheterization</subject><subject>Female</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Stomach Neoplasms - complications</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><issn>0037-5675</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9T01LxDAUzEFZ1-pPEHpQb4Ukr0neHmXxCxb0oOfymqZQSZuatAv77y1scS7DMMMwc8G2nIMplDbqil2n9MO5NBxxwzYotRam3LKHTxftPNHgwpzymrwPYcgpxKmz-ZH8MUyhP92wy5Z8crcrZ-z75flr_1YcPl7f90-HYhSKT4VDzS01qEnxBSi0KWW5Q9UaAFsbp13DAWBXY2ncIsGQJkFWgOLQEGTs8dw7xvA7uzRVfZes8_68rzJaSMSlLGN3a3Cue9dUY-x6iqdq_bX496tPyZJvIw22S_8xQCFBCvgDTWlTcw</recordid><startdate>199306</startdate><enddate>199306</enddate><creator>NG, K. S</creator><creator>TAN, A. T. H</creator><creator>CHAN, C. N. S</creator><creator>DING, Z. 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P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p150t-e860cad86a500008167424985f733cb7e6ed03339b847e7e637a6a1ac13503da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adenocarcinoma - complications</topic><topic>Aged</topic><topic>Aortic Valve Insufficiency - complications</topic><topic>Aortic Valve Insufficiency - therapy</topic><topic>Aortic Valve Stenosis - complications</topic><topic>Aortic Valve Stenosis - therapy</topic><topic>Biological and medical sciences</topic><topic>Catheterization</topic><topic>Female</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Stomach Neoplasms - complications</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>NG, K. S</creatorcontrib><creatorcontrib>TAN, A. T. H</creatorcontrib><creatorcontrib>CHAN, C. N. S</creatorcontrib><creatorcontrib>DING, Z. P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Singapore medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>NG, K. S</au><au>TAN, A. T. H</au><au>CHAN, C. N. S</au><au>DING, Z. 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Overseas experience has shown that percutaneous balloon valvotomy can be done with little technical difficulty and excellent patient tolerance, resulting in good haemodynamic and clinical improvement and a low acute complication rate. Present follow-up data however suggest significant mortality and restenosis rates at the end of one year. Percutaneous balloon aortic valvotomy (PBAV) has a significant though narrowly defined role in the management of patients with severe calcific aortic stenosis.</abstract><cop>Singapore</cop><pub>Singapore Medical Association</pub><pmid>8266174</pmid><tpages>3</tpages></addata></record> |
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| ispartof | Singapore medical journal, 1993-06, Vol.34 (3), p.208-210 |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adenocarcinoma - complications Aged Aortic Valve Insufficiency - complications Aortic Valve Insufficiency - therapy Aortic Valve Stenosis - complications Aortic Valve Stenosis - therapy Biological and medical sciences Catheterization Female Humans Medical sciences Stomach Neoplasms - complications Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart |
| title | Percutaneous balloon aortic valvotomy |
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