Pena H P, Teixeira S L, Mandil A, Simão Filho C, Moreira M da C
Hospital Felício Rocho, Serviço de Cardiologia, Belo Horizonte, MG.
Arq Bras Cardiol. 1997 Jul;69(1):55-7. doi: 10.1590/s0066-782x1997000700010.
In a 36-year-old man with severe aortic stenosis and refractory cardiogenic shock, an emergency percutaneous balloon aortic valvuloplasty was performed, followed by clinical improvement, allowing elective aortic valve replacement at the 48th day post-valvuloplasty. Clinical follow-up for eight months after surgery showed significant functional improvement. Aortic balloon valvuloplasty is a life-saving approach to patients with severe aortic stenosis and high surgical risk and should be considered as a bridge to planned valve replacement or cardiac transplantation. Aortic valve replacement should be considered even in patients with severe ventricular dysfunction, while the cardiac transplantation should be indicated for patients with a very marked and irreversible depression of myocardial contractility.
在一名患有严重主动脉瓣狭窄和难治性心源性休克的36岁男性患者中，进行了紧急经皮气囊主动脉瓣成形术，随后临床症状改善，使得在瓣膜成形术后第48天能够进行择期主动脉瓣置换术。术后八个月的临床随访显示功能有显著改善。主动脉球囊瓣膜成形术对于患有严重主动脉瓣狭窄且手术风险高的患者是一种挽救生命的方法，应被视为计划进行瓣膜置换或心脏移植的桥梁。即使是患有严重心室功能障碍的患者也应考虑进行主动脉瓣置换，而对于心肌收缩力非常明显且不可逆降低的患者则应考虑进行心脏移植。
