PMID- 28790250
OWN - NLM
STAT- MEDLINE
DCOM- 20171218
LR  - 20171218
IS  - 0021-5252 (Print)
IS  - 0021-5252 (Linking)
VI  - 70
IP  - 9
DP  - 2017 Aug
TI  - [Usefulness of Balloon Aortic Valvuloplasty for Determining the Operative 
      Procedure in a Patient with Severe Aortic Stenosis Complicated with Secondary 
      Mitral Regurgitation;Report of a Case].
PG  - 799-803
AB  - A 59-year-old man on chronic hemodialysis presented with severe aortic 
      stenosis(AS) and moderate mitral regurgitation (MR). Although aortic valve 
      replacement was scheduled, his status deteriorated into New York Heart 
      Association(NYHA) class III heart failure due to the exacerbation of AS and 
      concomitant MR. Double valve replacement was considered to be too high risk for 
      the patient, and balloon aortic valvuloplasty(BAV) was initially performed. As a 
      result, the mean pressure gradient of the aortic valve decreased from 65 to 28 
      mmHg and the mean pulmonary pressure also from 52 to 33 mmHg. Furthermore, MR 
      improved from severe to moderate following BAV. We considered the alleviation of 
      aortic stenosis was sufficient treatment for the patient. He underwent aortic 
      valve replacement on the following day of BAV. Postoperative echocardiogram after 
      1 month showed mild MR, and the estimated pulmonary systolic pressure was 35 
      mmHg. During the 1-year follow up, MR was not aggravated. BAV might be a useful 
      diagnostic method to determine the operative strategy for severe AS complicated 
      with secondary MR.
FAU - Kamiya, Kenichi
AU  - Kamiya K
AD  - Cardiovascular Center, Ageo Central General Hospital, Ageo, Japan.
FAU - Furuta, Akira
AU  - Furuta A
FAU - Okano, Ryoi
AU  - Okano R
FAU - Tanaka, Haruki
AU  - Tanaka H
FAU - Fukusumi, Masaomi
AU  - Fukusumi M
FAU - Miyauchi, Tadamasa
AU  - Miyauchi T
FAU - Tedoriya, Takeo
AU  - Tedoriya T
LA  - jpn
PT  - Case Reports
PT  - Journal Article
PL  - Japan
TA  - Kyobu Geka
JT  - Kyobu geka. The Japanese journal of thoracic surgery
JID - 0413533
SB  - IM
MH  - Aortic Valve Stenosis/diagnostic imaging/*surgery
MH  - Echocardiography
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve Insufficiency/diagnostic imaging/*surgery
MH  - Transcatheter Aortic Valve Replacement
EDAT- 2017/08/10 06:00
MHDA- 2017/12/19 06:00
CRDT- 2017/08/10 06:00
PHST- 2017/08/10 06:00 [entrez]
PHST- 2017/08/10 06:00 [pubmed]
PHST- 2017/12/19 06:00 [medline]
PST - ppublish
SO  - Kyobu Geka. 2017 Aug;70(9):799-803.