Balloon Aortic Valvuloplasty for a High-Risk Patient Using Percutaneous Cardiopulmonary Support

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  • Yoshino Kunihiko
    Department of Cardiovascular Surgery, St. Luke's International Hospital
  • Abe Kohei
    Department of Cardiovascular Surgery, St. Luke's International Hospital
  • Nakanishi Yusuke
    Department of Cardiovascular Surgery, St. Luke's International Hospital
  • Ito Joji
    Department of Cardiovascular Surgery, St. Luke's International Hospital
  • Misumi Hiroyasu
    Department of Cardiovascular Surgery, St. Luke's International Hospital

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  • 高度大動脈弁狭窄症に伴う重症心不全に対し PCPS 使用下で BAV を行った1例

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Description

Balloon aortic valvuloplasty (BAV) is a treatment for high risk patients with severe aortic valve stenosis (AS). Rapid pacing is needed to reduce cardiac output when dilating the balloon, but it may cause cardiac ischemia or lethal arrhythmia. In this case report, percutaneous cardiopulmonary support (PCPS) was used to prevent these complications with BAV. We achieved adequate blood pressure and cardiac output during BAV without using rapid pacing by drawing a certain amount of blood into the reservoir equipped with the PCPS circuit. When performing BAV, PCPS may be a useful option for the patients who have high risks of circulatory failure.

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