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[Percutaneous aortic valvuloplasty by trans-septal approach]
Archives Des Maladies Du Coeur Et Des Vaisseaux
|February 1, 1987
Summary
Trans-septal aortic valvuloplasty offers a novel approach for aortic stenosis when retrograde access is challenging. This technique successfully increased aortic valve area, demonstrating its potential in complex cases.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Catheterization
Background:
- Aortic stenosis (AS) is a significant valvular heart disease.
- Aortic valvuloplasty is an emerging treatment for AS.
- Retrograde catheterization can be challenging in some AS cases.
Observation:
- A case of severe aortic stenosis presented with difficulty in retrograde aortic orifice traversal.
- Trans-septal catheterization was employed to access the aortic valve.
- Initial aortic area was measured at 0.25 cm2.
Findings:
- Trans-septal catheterization facilitated aortic valvuloplasty.
- The aortic valve area significantly increased from 0.25 cm2 to 0.82 cm2.
- Additional retrograde dilatation with a 25 mm catheter was required.
Implications:
- Trans-septal approach is a viable alternative for aortic valvuloplasty in difficult cases.
- This technique can improve procedural success rates for aortic stenosis treatment.
- Further research may explore the expanded use of trans-septal valvuloplasty.