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[Percutaneous aortic valvuloplasty prior to major abdominal surgery].

Authors
  • Uríarte, P
  • Florenzáno, F
  • Kauffmann, R
  • Meruane, J
Type
Published Article
Journal
Revista médica de Chile
Publisher
SciELO Comision Nacional de Investigacion Cientifica Y Tecnologica
Publication Date
Jan 01, 1989
Volume
117
Issue
1
Pages
42–45
Identifiers
PMID: 2641623
Source
Medline
License
Unknown

Abstract

A 73 year old woman with severe aortic stenosis, functional class III, developed obstructive jaundice. A percutaneous aortic valvuloplasty was performed and the peak gradient decreased from 80 to 22 mmHg while the cardiac index increased from 1.83 to 2.22 l/min/m2 and the aortic valve area from 0.30 to 0.63 cm2. One week later, cholecystectomy, and common duct drainage was performed with no complications. Thirteen months later the patient remains functional class I with echographic findings supporting a continuous success of the aortic valvuloplasty. This patient illustrates one of the possible indications for percutaneous balloon valvuloplasty for severe aortic stenosis.

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