0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Brief Communications |

Percutaneous Balloon Aortic Valvuloplasty for Aortic Stenosis in Elderly Patients at High Risk for Surgery

JOHN F. SCHNEIDER, M.D.; MICHAEL WILSON, M.D.; and THOMAS E. GALLANT, M.D.
[+] Article and Author Information

▸Requests for reprints should be addressed to John F. Schneider, M.D.; Division of Cardiology, 3354 Medical Science Bldg., 231 Bethesda Ave.; Cincinnati, OH 45267.


Cincinnati, Ohio


©1987 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1987;106(5):696-699. doi:10.7326/0003-4819-106-5-696
Text Size: A A A

Six elderly patients had percutaneous balloon aortic valvuloplasty for severe, symptomatic calcific aortic stenosis because valve replacement surgery was considered too risky in five patients with severe coexisting cardiac or other medical problems and because one patient refused to have surgery. The procedure resulted in a significant reduction in the mean (± SD) aortic valve gradient, from 47 ± 13 to 32 ± 12 mm Hg (change, - 32%,p < 0.01), and a significant increase in the mean area of the aortic valve, from 0.64 ± 0.12 to 0.90 ± 0.17 cm2 (change, + 40%, p < 0.001). Blood loss from the femoral puncture site was the only major procedural complication. At a mean follow-up of 2 months after the procedure, all patients were alive and dyspnea had improved by two New York Heart Association functional classes in four patients and by one functional class in two patients. A significant short-term increase in aortic valve area and alleviation in symptoms can be achieved safely by percutaneous balloon aortic valvuloplasty in elderly patients with severe calcific aortic stenosis who are at high risk for surgical complications.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)