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Left Ventricular Performance and Clinical Outcome after Repeat Balloon Aortic Valvuloplasty

Charles J. Davidson, MD; J. Kevin Harrison, MD; Mark E. Leithe, MD; Katherine B. Kisslo, RDMS; and Thomas M. Bashore, MD
[+] Article, Author, and Disclosure Information

Presented in part at the 62nd Annual Scientific Session of the American Heart Association, New Orleans, Louisiana, November 1989.

Grant Support: In part by an award (NIH 5T32HL07101) from the National Institutes of Health, the National Heart, Lung, and Blood Institute, and the National Research Service.

Requests for Reprints: Charles J. Davidson, MD, Duke University Medical Center, Box 31195, 7426 Hospital North, Erwin Road, Durham, NC 27710.

Current Author Addresses: Dr. Davidson: Duke University Medical Center, Box 31195, 7426 Hospital North, Erwin Road, Durham, NC 27710.

Drs. Harrison and Bashore and Ms. Kisslo: Duke University Medical Center, Box 3012, 7436 Hospital North, Erwin Road, Durham, NC 27710.

Dr. Leithe: Wilson Memorial Hospital, Wilson, NC 27893.

Ann Intern Med. 1990;113(3):250-252. doi:10.7326/0003-4819-113-3-250
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This excerpt has been provided in the absence of an abstract.

The detailed baseline and acute changes in left ventricular performance characteristics during repeat balloon aortic valvuloplasty have not been evaluated relative to the initial procedure. In previous studies, acute left ventricular function hemodynamics have not been measured with even simple variables such as ejection fraction (1-3).

Some patients, due to advanced age or comorbid disease, present an extraordinary risk for cardiac surgery. Despite symptomatic restenosis of a previously dilated aortic valve, repeat balloon aortic valvuloplasty therefore is being offered as palliative therapy (1-3). Although the initial procedure generally provides early symptomatic improvement (1-5), the clinical outcome of patients requiring repeat


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