Abstract
We report a case of calcific aortic stenosis in a 79-year-old man who had undergone aortocoronary bypass. Since ordinary valve replacement was problematic because of severe annular calcification, a small annular diameter, and three patent vein grafts, we performed ultrasonic aortic valve decalcification. As a result, the pressure gradient across the aortic valve decreased from 100 mmHg to 25 mmHg, and the patient is doing well to date at two years after the operation. Although long-term results of ultrasonic aortic valve decalcification are still undetermined, it appears worth considering in cases in which ordinary valve replacement could be extremely difficult
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Noji S, Kitamura N, Yamaguchi A, Miki T, Shuntoh K, Kimura S, et al. Intermediate to late results of aortic or mitral valvuloplasty by rasping procedure. Jpn J Thorac Cardiovasc Surg 1995; 43: 797–803.
Mindich BP, Guarino T, Goldman ME. Aortic valvuloplasty for acquired aortic stenosis. Circulation 1986; 74 (Suppl I): 130–5.
Craver JM. Aortic valve debridement by ultrasonic surgical aspirator: a word of caution. Ann Thorac Surg 1990; 49: 746–53.
Scanneil JG, Austen WG. Replacement versus reconstruction of the aortic valve. Circulation 1966; 33 and 34 (Suppl I): 131–4.
Hurley PJ, Lowe JB, Barratt-Boyes BG. Debridement-valvotomy for aortic stenosis in adults: a follow-up of 76 patients. Thorax 1967; 22: 314–9.
Enright LP, Hancock EW, Shumway NE. Aortic debridement: long-term follow-up. Circulation 1971; 43 and 44 (Suppl I): 68–72.
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Ninomiya, M., Makuuchi, H., Naruse, Y. et al. Ultrasonic aortic valve decalcification. Jpn J Thorac Caridovasc Surg 48, 312–314 (2000). https://doi.org/10.1007/BF03218146
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DOI: https://doi.org/10.1007/BF03218146