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Balloon aortic valvuloplasty in young adults by antegrade, transseptal approach using Inoue balloon by Vinay K. Bahl; Subhash Chandra; Kewal C. Goswami; Subhash C. Manchanda is a Medicine article available to read on EtoBox.

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Transvenous, transseptal, antegrade balloon aortic valvuloplasty (BAV) was successfully performed in 16 consecutive young adults with noncalcific aortic stenosis using Inoue balloon catheter. There were 13 males and three females, with a mean age of 20.4 ؎ 5.8 years (range 14-30 years). All the patients had normal left ventricular systolic function. All procedures were performed electively by the antegrade technique, except the initial index case in whom, the stenosed aortic valve could not be crossed retrogradely. Dilatation was performed using stepwise technique keeping the balloon:annulus ratio I100% in all the cases. Transaortic peak systolic gradient decreased from 113.4 ؎ 42.6 (range 70-210) mm Hg to 11.2 ؎ 9.2 (range 4-32) mm Hg; P ‫؍‬ 0.0005. Following BAV, three patients developed grade 2 ؉ aortic regurgitation, who were managed medically. None of the patients developed tamponade, vascular complications, excessive bleeding, or thromboembolism. Significant left to right atrial shunt (Qp/Qs H 1.5:1) was observed in one case. The average procedure time was 20 ؎ 8 min (range 18-35 min). On follow-up (n ‫؍‬ 11 patients) at 4 ؎ 1.5 months (range 2-7 months) all the patients were

Who reads Balloon aortic valvuloplasty in young adults by antegrade, transseptal approach using Inoue balloon?

Author

Vinay K. Bahl; Subhash Chandra; Kewal C. Goswami; Subhash C. Manchanda

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 0098-6569)

Published

1998

Language

EN

Field

Medicine (Health Sciences)