Effectiveness of balloon percutaneous valvuloplasty for stenotic bioprosthetic valves in different positions

Orbe, Luis Calvo; Sobrino, N; Maté, I; Oliver, Josè M.; Rico, José; Frutos, Araceli; Domı́nguez, Francisco; Mesa, José Marı́a; Sobrino, José A.

doi:10.1016/0002-9149(91)90337-k

Cited by 12 publications

(6 citation statements)

References 8 publications

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“…While valvuloplasty of deteriorating bioprostheses is well described , there are only two previous cases of tricuspid valvuloplasty for stenosis in the setting of endocarditis. Benedick et al described a case of fungal endocarditis of a porcine tricuspid prosthesis, with successful decrease in the valve gradient and increase in valve area post procedure .…”

Section: Discussionmentioning

confidence: 99%

Percutaneous valvuloplasty for severe bioprosthetic tricuspid valve stenosis in the setting of infective endocarditis

Reddy

Ahmed

Alli

2014

Cathet Cardio Intervent

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Bioprosthetic tricuspid valve stenosis as a sequela of infective endocarditis is extremely rare. We describe the case of a 29-year-old male patient with a history of intravenous drug use and two previous bioprosthetic tricuspid valve placements who presented with recurrent endocarditis and severe tricuspid stenosis. He was deemed extremely high risk for redo valve replacement surgery. Intracardiac ultrasound-guided balloon valvuloplasty was performed with good clinical outcome. We believe that interventional treatment of prosthetic valvular stenosis in the setting of endocarditis is a reasonable therapeutic choice when open surgical repair is associated with prohibitively high mortality. This can be performed either as destination therapy or as a bridge to valve replacement. The use of intracardiac ultrasound provided additive information to that obtained by transthoracic and transesophageal echocardiography. V C 2014 Wiley Periodicals, Inc.

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Section: Discussionmentioning

confidence: 99%

Percutaneous valvuloplasty for severe bioprosthetic tricuspid valve stenosis in the setting of infective endocarditis

Reddy

Ahmed

Alli

2014

Cathet Cardio Intervent

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“…To the best of our knowledge, there are only five reported cases of attempted balloon valvuloplasty of a stenotic aortic bioprosthetic valve published in the literature. Of these cases, one patient died soon after the procedure [2], another required surgical valve replacement [2], the third [3] and the fourth [4] had short‐term follow‐up, and the fifth [5] died because of severe aortic regurgitation. Because bioprostheses cannot develop commissural fusion, a major cause for stenosis is likely deposition of calcium at the commissures, inducing altered dynamics of the leaflets [3].…”

Section: Discussionmentioning

confidence: 99%

Repeated successful balloon valvuloplasty of a bioprosthetic aortic valve in a nonagenerian

Dejam

Hokinson

Laham

2011

Cathet Cardio Intervent

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Calcific aortic stenosis remains a major cause of mortality and morbidity in the aging population. Surgical replacement remains the treatment of choice for this disease. Balloon aortic valvuloplasty was introduced as a palliative procedure for these patients, but was tempered by a high rate of recurrence, which has limited its usefulness. However, the introduction of smaller-profile balloons, rapid pacing, and closure devices have brought it back as an alternative treatment strategy in selected patients who are at too high risk for surgery with repeat valvuloplasty as needed for recurrences. We report a case of prosthetic aortic valve stenosis treated with valvuloplasty with intracardiac and fluoroscopic guidance with recurrence treated with repeat valvuloplasty with promising intermediate-term outcome and describe the growing valve in valve procedures.

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“…However, the reports regarding balloon valvuloplasty for bioprosthetic valve failure in adult patients are extremely limited. A literature search identified 26 cases of balloon valvuloplasty for degenerated bioprosthetic valve; 14 cases in mitral position [6][7][8][9][10][11][12][13][14][15][16], 6 cases in aortic position [17,18,16,19,20], 4 cases in tricuspid position [21][22][23][24], and 2 case in pulmonary position (Table 2) [27]. We cannot draw any concrete conclusions from these limited experiences, more case reports are needed to establish a base for future expert recommendation of balloon valvuloplasty of prosthetic mitral valve.…”

Section: Percutaneous Transcatheter Balloon Valvuloplasty Was First Pmentioning

confidence: 99%

Percutaneous balloon valvuloplasty for bioprosthetic mitral valve stenosis

et al. 2012

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Percutaneous transcatheter mitral valvuloplasty is the indicated treatment of choice for symptomatic native mitral valve stenosis, but there have been limited reports of successful procedures of balloon valvuloplasty for bioprosthetic mitral valve stenosis. We present the case of a 62-year-old woman suffering from progressive dyspnea due to bioprosthetic mitral valve stenosis. The measured mean pressure gradient across the mitral valve was 30 mmHg and the mitral valve area was 0.73 cm(2). Redoing mitral replacement was considered high risk and was refused by the patient. Percutaneous balloon valvuloplasty was performed with an Inoue balloon catheter inflated to 20 mm. The patient's symptoms immediately improved after the procedure, with no procedure-related complications. The mean pressure gradient across the valve decreased to 19 mmHg, and the mitral valve area increased to 1.21 cm(2) in postprocedural echocardiography. We conducted a literature search and identified 26 cases of balloon valvuloplasty for degenerated bioprosthetic valves. Of these, 14 cases were bioprosthetic mitral valves, and the results were favorable. However, more case reports are required to establish an evidence base for future expert recommendation of balloon valvuloplasty of prosthetic mitral valve. Meanwhile, balloon valvuloplasty will serve a niche role in highly selected patients with prosthetic mitral valve stenosis.

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Effectiveness of balloon percutaneous valvuloplasty for stenotic bioprosthetic valves in different positions

Cited by 12 publications

References 8 publications

Percutaneous valvuloplasty for severe bioprosthetic tricuspid valve stenosis in the setting of infective endocarditis

Percutaneous valvuloplasty for severe bioprosthetic tricuspid valve stenosis in the setting of infective endocarditis

Repeated successful balloon valvuloplasty of a bioprosthetic aortic valve in a nonagenerian

Percutaneous balloon valvuloplasty for bioprosthetic mitral valve stenosis

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