Abstract
Since the first reports of percutaneous balloon valvuloplasty in calcific aortic stenosis in 1986 (5, 11), this method has attracted rapid worldwide interest because of the rather large number of elderly patients with symptomatic aortic stenosis. Until recently, septuagenarians or even octogenarians recieved medical therapy, despite the well known poor prognosis in the spontaneous course of this disease (12, 17). Several groups began to evaluate the feasibility of this technique and its results in terms of hemodynamic and symptomatic improvement as well as possible improved prognosis (2, 6, 13). To date more than 2 000 BAV procedures have been performed, mainly in France and the United States. Early studies suggest that marked immediate symptomatic and hemodynamic improvement can be achieved, while the restenosis rate seems to be relatively high in short term follow-up (7).
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Bernard Y, Bassand JP, Anguenot et al. (1988) Early and late evaluation of percutaneous aortic valvuloplasty. A combined hemodynamic and doppler-echocardiographic study. J Am Coll Cardiol 14A
Berland J, Cribler A, Savin T et al. (1988) Postvalvuloplasty follow-up of elderly patients with severe aortic stenosis and low ejection fraction. J Am Coll Cardiol 11: 15A
Block PC (1988) Aortic valvuloplasty — a valid alternative? N Engl J Med 319: 169
Carabello BA, Green LK, Grossman W et al. (1980) Hemodynamic determinants of prognosis of aortic valve replacement in critical aortic stenosis and advanced congestive heart failure. Circulation 62: 42
Cribler A, Savin T, Saoudi N et al. (1986) Percutaneous transluminal valvuloplasty of acquired aortic stenosis in elderly patients. An alternative to valve replacement? Lancet I, 63
Cribler A, Letac B (1988) Two year experience of percutaneous balloon valvuloplasty in aortic stenosis. Herz 13: 110
Desnoyers MR, Isner JM, Salem DN et al. (1987) Clinical and non-invasive hemodynamic follow-up of patients treated with balloon valvuloplasty for calcific aortic stenosis. Circulation 76, Suppl IV, 303
Edmunds LH, Stephenson LW, Edie RN et al. (1988) Open heart surgery in octogenarians. N Engl J Med 319: 131
Gorlin R, Gorlin SG (1951) Hydraulic formula for calculation of the area of the stenotic mitral valve, other cardiac valves and central circulatory shunts. Am Heart J 41: 1
Hakki AH, Iskandrian AS, Bemis CE et al. (1981) A simplified valve formula for the calculation of stenotic cardiac valve areas. Circulation 63: 1050
McKay RG, Safian RD, Lock JE et al. (1986) Balloon dilatation of calcific aortic stenosis in elderly patients. Post mortem, intraoperative and percutaneous valvuloplasty studies. Circulation 74: 119
O’Keefe JK, Vlietstra RE, Bailey KR et al. (1987) Natural history of candidates for balloon aortic valvuloplasty. Mayo Clin Proc 62: 986
Pop TR, Erbel R, Henrichs KJ et al. (1988) Perkutane Angioplastie der stenosierten Aorten-klappe: Ergebnisse, haemodynamische Auswirkungen, Komplikationen. Z. Kardiol 77: 337
Robicsek FN and Harbold NB (1987) Limited value of balloon dilatation in calcified aortic stenosis in adults:direct observations during open heart surgery. Am J Cardiol 60: 337
Safian RD, Berman AD, Diver DJ et al. (1988) Balloon aortic valvuloplasty in 170 consecutive patients. N Engl J Med 319: 125
Scherer HE, Hörmann E, Engel HJ (1987) Ballondilatation verkalkter Aortenstenosen. Dtsch med Wschr 112: 1694
Turina J, Hess O, Sepulcri F et al. (1987) Spontaneous course of aortic valve disease. Fur Heart J 8: 471
Vogt A, Rupprath G, Tebbe U (1988) Verlaufsbeobachtungen nach Ballondilatation angeborener und erworbener Aortenstenosen. Z Kardiol 77 Suppl 1: 86
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Scherer, H.E. (1989). Balloon aortic valvuloplasty in adults: report of 78 consecutive patients. In: Höfling, B., v. Pölnitz, A., Erdmann, E., Steinbeck, G., Strauer, B.E. (eds) Interventional Cardiology and Angiology. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-662-12114-6_10
Download citation
DOI: https://doi.org/10.1007/978-3-662-12114-6_10
Publisher Name: Steinkopff, Heidelberg
Print ISBN: 978-3-662-12116-0
Online ISBN: 978-3-662-12114-6
eBook Packages: Springer Book Archive