Higuchi Ryosuke, Tobaru Tetsuya, Naito Kazuhiro, Shimizu Jun, Takanashi Shuichiro, Takayama Morimasa
Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan.
Department of Cardiovascular Surgery, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu, Tokyo, 183-0003, Japan.
Cardiovasc Interv Ther. 2017 Apr;32(2):151-153. doi: 10.1007/s12928-016-0381-5. Epub 2016 Feb 19.
The introduction of transcatheter aortic valve implantation focuses attention on balloon aortic valvuloplasty (BAV) once again. BAV is effective for several clinical conditions, but fatal complications including acute severe aortic insufficiency may occur, although rare. We report a case of acute aortic insufficiency occurring during BAV, which was bailed out remarkably by the catheter method. When acute aortic insufficiency occurs during BAV, this simple and effective procedure should be attempted before conversion to emergency surgery.
经导管主动脉瓣植入术的引入再次将人们的注意力集中到球囊主动脉瓣成形术（BAV）上。BAV对多种临床情况有效，但可能会发生包括急性严重主动脉瓣关闭不全在内的致命并发症，尽管这种情况很罕见。我们报告了1例在BAV期间发生急性主动脉瓣关闭不全的病例，该病例通过导管方法得到了显著缓解。当在BAV期间发生急性主动脉瓣关闭不全时，在转为急诊手术之前应尝试这种简单有效的操作。
