Desnoyers M R, Salem D N, Rosenfield K, Mackey W, O'Donnell T, Isner J M
Department of Medicine (Cardiology), Tufts University School of Medicine, New England Medical Center Hospitals, Boston, Massachusetts.
Ann Intern Med. 1988 Jun;108(6):833-5. doi: 10.7326/0003-4819-108-6-833.
We used aortic balloon valvuloplasty to successfully treat two patients who had cardiogenic shock associated with calcific aortic stenosis. In both patients, the resulting reduction in mean aortic valve gradient and increase in calculated aortic valve area allowed prompt discontinuation of treatment with pressors and a return to near normal renal function. Both patients were discharged within 10 days after valvuloplasty and showed significant, long-lasting clinical improvement. Aortic balloon valvuloplasty can reverse cardiogenic shock associated with calcific aortic stenosis.
我们采用主动脉球囊瓣膜成形术成功治疗了两名患有与钙化性主动脉瓣狭窄相关的心源性休克的患者。在这两名患者中，平均主动脉瓣压差的降低以及计算得出的主动脉瓣面积的增加使得能够迅速停止使用升压药，并使肾功能恢复至接近正常水平。两名患者均在瓣膜成形术后10天内出院，且显示出显著且持久的临床改善。主动脉球囊瓣膜成形术可逆转与钙化性主动脉瓣狭窄相关的心源性休克。
