Balloon Aortic Valvuloplasty for a High-Risk Patient Using Percutaneous Cardiopulmonary Support
10.4326/jjcvs.45.76
- VernacularTitle:高度大動脈弁狭窄症に伴う重症心不全に対し PCPS 使用下で BAV を行った1例
- Author:
Kunihiko Yoshino
;
Kohei Abe
;
Yusuke Nakanishi
;
Joji Ito
;
Hiroyasu Misumi
- Publication Type:Journal Article
- Keywords:
AS;
PCPS;
BAV;
reservoir
- From:Japanese Journal of Cardiovascular Surgery
2016;45(2):76-79
- CountryJapan
- Language:Japanese
-
Abstract:
Balloon aortic valvuloplasty (BAV) is a treatment for high risk patients with severe aortic valve stenosis (AS). Rapid pacing is needed to reduce cardiac output when dilating the balloon, but it may cause cardiac ischemia or lethal arrhythmia. In this case report, percutaneous cardiopulmonary support (PCPS) was used to prevent these complications with BAV. We achieved adequate blood pressure and cardiac output during BAV without using rapid pacing by drawing a certain amount of blood into the reservoir equipped with the PCPS circuit. When performing BAV, PCPS may be a useful option for the patients who have high risks of circulatory failure.
