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Balloon aortic valvuloplasty (BAV) as a bridge to aortic valve replacement in cancer patients who require urgent non-cardiac surgery
Kogoj, Polonca (Author), Devjak, Rok (Author), Bunc, Matjaž (Author)

URLURL - Presentation file, Visit http://www.degruyter.com/view/j/raon.2014.48.issue-1/raon-2013-0078/raon-2013-0078.xml This link opens in a new window

Abstract
Balloon aortic valvuloplasty (BAV) is a percutaneous treatment option for severe, symptomatic aortic stenosis. Due to early restenosis and failure to improve long term survival, BAV is considered a palliative measure in patients who are not suitable for open heart surgery due to increased perioperative risk. BAV can be used also as a bridge to surgical or transcatheter aortic valve implantation (TAVI) in hemodinamically unstable patients or in patients who require urgent major non-cardiac surgery.We reported 6 oncologic patients with severe aortic stenosis that required a major abdominal and gynecological surgery. In 5 cases we performed BAV procedure alone, in one patients with concomitant coronary artery disease we combined BAV and PCI. With angioplasty and BAV we achieved a good coronary artery flow and an increase in aortic valve area without any periprocedural complications. After the successful procedure, we observed a hemodynamic and symptomatic improvement. As a consequence the operative risk for non-cardiac surgery decreased and the surgical treatment was done without complications in all the 6 cases.We conclude that BAV can be utilized as a part of a complex therapy in severe aortic stenosis aimed to improve the quality of life, decrease the surgical risk for major non-cardiac surgery or as a bridge to surgical or transcatheter aortic valve implantation.

Language:English
Keywords:aortic valve stenosis, elderly comorbidities, coronary artery disease
Work type:Not categorized (r6)
Tipology:1.01 - Original Scientific Article
Organization:MF - Faculty of Medicine
Year:2014
Number of pages:str. 62-66, V
Numbering:Vol. 48, no. 1
UDC:616.1
ISSN on article:1318-2099
DOI:10.2478/raon-2013-0078 Link is opened in a new window
COBISS.SI-ID:31136729 Link is opened in a new window
Views:569
Downloads:175
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Record is a part of a journal

Title:Radiology and oncology
Shortened title:Radiol. oncol.
Publisher:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 This link opens in a new window

Secondary language

Language:Slovenian
Keywords:aortne zaklopke, zdravstvene težave starejših, bolezni koronarnih arterij

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