Smedira N G, Ports T A, Merrick S H, Rankin J S
Department of Surgery, University of California, San Francisco 94143-0118.
Ann Thorac Surg. 1993 Apr;55(4):914-6. doi: 10.1016/0003-4975(93)90116-y.
This report highlights our experience in 5 patients with severe aortic stenosis and multiple organ failure undergoing balloon aortic valvuloplasty as a bridge to conventional aortic valve replacement. Balloon aortic valvuloplasty successfully stabilized the condition of these patients, improved organ function, and decreased their baseline risk profile. Elective aortic valve replacement was then performed without complications. Short-term palliation with balloon aortic valvuloplasty should be considered as a bridge to aortic valve replacement in selected patients with critical aortic stenosis and multiple organ failure.
本报告重点介绍了我们对5例患有严重主动脉瓣狭窄和多器官功能衰竭的患者进行球囊主动脉瓣成形术作为传统主动脉瓣置换术桥梁的经验。球囊主动脉瓣成形术成功稳定了这些患者的病情,改善了器官功能,并降低了他们的基线风险状况。随后进行了择期主动脉瓣置换术,未出现并发症。对于选定的患有严重主动脉瓣狭窄和多器官功能衰竭的患者,应考虑将球囊主动脉瓣成形术作为主动脉瓣置换术的短期姑息治疗方法。