Emergency Percutaneous Balloon Aortic Valvuloplasty in Critical Aortic Stenosis with Hemodynamic Instability

We report the case of an 81-year-old patient with symptomatic severe aortic stenosis (AS) who developed refractory hemodynamic instability and respiratory arrest during a diagnostic cardiac catheterization. The patient was submitted to a percutaneous balloon aortic valvuloplasty as a life saving pro...

Full description

Saved in:

Bibliographic Details
Published in:	Revista brasileira de cardiologia invasiva Vol. 21; no. 3; pp. 295 - 298
Main Authors:	Barbosa, Roberto Ramos, Serpa, Renato Giestas, de Almeida Cesar, Roberto, Dadalt, Darlan, Cesar, Felipe Bortot, Reseck, Pedro Abílio Ribeiro
Format:	Journal Article
Language:	Portuguese
Published:	2013
Subjects:	Aortic valve stenosis Choque cardiogênico Estenose da valva aórtica Heart valve prosthesis implantation Implante de prótese de valva cardíaca Shock cardiogenic Choque cardiogênico Shock cardiogenic Heart valve prosthesis implantation Aortic valve stenosis Implante de prótese de valva cardíaca Estenose da valva aórtica
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	We report the case of an 81-year-old patient with symptomatic severe aortic stenosis (AS) who developed refractory hemodynamic instability and respiratory arrest during a diagnostic cardiac catheterization. The patient was submitted to a percutaneous balloon aortic valvuloplasty as a life saving procedure with subsequent hemodynamic improvement and clinical stabilization. The possibility of surgical treatment for AS was excluded due to the high surgical risk. Clinical follow-up of up to 7 months after the procedure demonstrated significant improvement in functional class and good exercise tolerance. Valvuloplastia Aórtica Percutânea como Medida Salvadora naEstenose Aórtica Crítica com Instabilidade Hemodinâmica Relatamos o caso de uma paciente de 81 anos, com estenose aórtica (EA) grave sintomática, que, durante cateterismo cardíaco diagnóstico, evoluiu com instabilidade hemodinâmica refratária e posterior parada respiratória. Foi submetida à valvuloplastia aórtica percutânea por balão como medida salvadora, com subsequente melhora hemodinâmica e compensação clínica. A possibilidade de tratamento cirúrgico da EA foi descartada pelo alto risco cirúrgico. O acompanhamento clínico de até 7 meses após o procedimento demonstrou melhora significativa da classe funcional e boa tolerância aos esforços.
ISSN:	0104-1843
DOI:	10.1016/S0104-1843(13)50055-5