Balloon Aortic Valvuloplasty as a Bridge to Liver Transplantation in Patients With Severe Aortic Stenosis: A Case Series

Kalarickal, Philip L.; Liu, Q.; Rathor, Rashmi; Ishag, Selma; Kerr, Thomas A.; Kangrga, Ivan

doi:10.1016/j.transproceed.2014.08.035

Cited by 15 publications

(11 citation statements)

References 20 publications

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“…AVR with subsequent LT has been successful, as have simultaneous AVR and LT or a minimally invasive AVR and LT . Aortic balloon valvuloplasty or a transcatheter AVR help avoid open heart surgery for patients who are not candidates for open repair . These procedures have been performed successfully, but risks include acute aortic regurgitation, MI, and stroke .…”

Section: Resultsmentioning

confidence: 99%

“…Aortic balloon valvuloplasty or a transcatheter AVR help avoid open heart surgery for patients who are not candidates for open repair . These procedures have been performed successfully, but risks include acute aortic regurgitation, MI, and stroke . Transcatheter AVR requires dual antiplatelet therapy, which may postpone or complicate, or both, LT …”

Section: Resultsmentioning

confidence: 99%

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Cardiac diseases among liver transplant candidates

Gitman¹,

Albertz

Nicolau‐Raducu

et al. 2018

Clinical Transplantation

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Improvements in early survival after liver transplant (LT) have allowed for the selection of LT candidates with multiple comorbidities. Cardiovascular disease is a major contributor to post-LT complications. We performed a literature search to identify the causes of cardiac disease in the LT population and to describe techniques for diagnosis and perioperative management. As no definite guidelines for preoperative assessment (except for pulmonary heart disease) are currently available, we recommend an algorithm for preoperative cardiac work-up.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Cardiac diseases among liver transplant candidates

Gitman¹,

Albertz

Nicolau‐Raducu

et al. 2018

Clinical Transplantation

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“…After an extensive literature search, only one article described a successful use of balloon aortic valvuloplasty (BAV) as a bridging therapy to facilitate perioperative management of severe aortic stenosis during transplantation . By performing BAV within 48hrs before OLT, the authors were able to improve the hemodynamics effectively bridging the patients to an uneventful transplantation . As evidenced by this case, careful patient selection for appropriate cardiac anatomy paired with an appropriate transcatheter valve is critical to procedural success.…”

Section: Discussionmentioning

confidence: 99%

“…The introduction of percutaneous cardiac procedures offers a promising alternative to high‐risk surgical patients. After an extensive literature search, only one article described a successful use of balloon aortic valvuloplasty (BAV) as a bridging therapy to facilitate perioperative management of severe aortic stenosis during transplantation . By performing BAV within 48hrs before OLT, the authors were able to improve the hemodynamics effectively bridging the patients to an uneventful transplantation .…”

Section: Discussionmentioning

confidence: 99%

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Transcatheter aortic valve replacement for native aortic valve regurgitation as a bridge to liver transplantation

Cabasa

Eleid

Suri

2015

Cathet Cardio Intervent

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Coexistence of end-stage liver disease (ESLD) and severe valvular heart disease conveyed substantial risk for patients, oftentimes leading to exclusion from liver transplantation candidacy due to inability to safely offer cardiac surgery prior to transplantation. Several approaches have been described, including performing transplantation and valve surgery concurrently, or in sequence. Both options, however, have associated complications: catastrophic repercussion of peri-operative coagulopathy and organ dysfunction post-transplantation, respectively. The introduction of transcatheter procedures offered a safer alternative for high-risk patients; however, its recognized indications remained limited. A novel approach to this surgical dilemma by performing transcatheter aortic valve replacement (TAVR) for severe native aortic valve regurgitation in a patient on the liver transplant list has been presented. The procedure proved to be an effective management for the aortic valve insufficiency, improving our patient's hemodynamics in preparation for the subsequent orthotopic liver transplantation (OLT). © 2015 Wiley Periodicals, Inc.

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