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Updated: Dec 9, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Clinical outcomes following balloon aortic valvuloplasty
Anda Bularga1, Rong Bing2,3, Anoop Sv Shah2,3
1Centre for Cardiovascular Science, University of Edinburgh Division of Health Sciences, Edinburgh, UK anda.bularga@ed.ac.uk.
Balloon aortic valvuloplasty (BAV) is a viable option for severe aortic stenosis. Outcomes improve when BAV serves as a bridge to transcatheter aortic valve implantation (TAVI) or surgical aortic valve replacement (SAVR).
Area of Science:
- Cardiology
- Interventional Cardiology
- Valvular Heart Disease
Background:
- Balloon aortic valvuloplasty (BAV) is a treatment for severe aortic stenosis.
- Its role in the era of transcatheter aortic valve implantation (TAVI) requires examination.
Purpose of the Study:
- To evaluate clinical outcomes of BAV for severe aortic stenosis.
- To identify predictors of prognosis in patients undergoing BAV.
Main Methods:
- Retrospective analysis of 167 patients undergoing BAV from 2010-2018.
- Data collected on demographics, interventions, and outcomes from electronic health records.
Main Results:
- The study included elderly patients (median age 80).
- All-cause mortality at 12 months was 43%. Reduced ejection fraction was a predictor of mortality.
- 1-year mortality was lowest following TAVI or SAVR, and highest with no further intervention or repeat BAV.
Conclusions:
- BAV can be an acceptable treatment option as a bridge to definitive valve intervention.
- Contemporary data support the utility of BAV even in the TAVI era for selected patients.
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