首页> 外文期刊>The heart surgery forum >Balloon aortic valvuloplasty under temporary mechanical circulatory support as a bridge to aortic valve replacement in a patient with hemodynamic failure secondary to critical aortic valve stenosis.
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Balloon aortic valvuloplasty under temporary mechanical circulatory support as a bridge to aortic valve replacement in a patient with hemodynamic failure secondary to critical aortic valve stenosis.

机译:暂时性机械循环支持下的球囊主动脉瓣膜成形术,是继发于严重主动脉瓣狭窄的血流动力学衰竭患者主动脉瓣置换的桥梁。

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摘要

Aortic valve replacement in the setting of critical aortic valve stenosis with cardiogenic shock is associated with high mortality, yet surgery is the only definitive treatment. We present the case of a patient with critical aortic valve stenosis and cardiogenic shock who received a short period of percutaneous mechanical support and balloon aortic valvuloplasty that resulted in rapid clinical improvement. The patient then underwent uneventful aortic valve replacement. We believe that temporary mechanical circulatory support coupled with balloon aortic valvuloplasty helped to restore hemodynamic stability before surgery, leading to a better outcome.
机译:在发生心源性休克的严重主动脉瓣狭窄的情况下,主动脉瓣置换术会导致较高的死亡率,但手术是唯一的明确治疗方法。我们介绍了患有严重主动脉瓣狭窄和心源性休克的患者,该患者接受了短期的经皮机械支持和球囊主动脉瓣膜成形术,从而导致了快速的临床改善。然后对患者进行平稳的主动脉瓣置换术。我们认为临时的机械循环支持与球囊主动脉瓣膜成形术相结合有助于恢复术前的血液动力学稳定性,从而获得更好的结果。

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