Българска кардиология (Jun 2022)

Balloon aortic valvuloplasty in degenerative aortic stenosis

  • P. Polomski,
  • Z. Stankov,
  • I. Petrov,
  • I. Tasheva,
  • G. Dobrev

DOI
https://doi.org/10.3897/bgcardio.28.e82135
Journal volume & issue
Vol. 28, no. 2
pp. 35 – 43

Abstract

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Balloon valvuloplasty of the aortic valve (BAV) in aortic stenosis has been practiced for over 35 years. The initial enthusiasm caused by the excellent immediate hemodynamic effect of the procedure disappears due to the rapid restenosis of the aortic valve after intervention. The results of modern methods for defi nitive treatment of aortic valve stenosis – AVR and TAVI are excellent, thanks to which they are fi rmly rooted in treatment guidelines. However, BAV has its indications in symptomatic patients who are not suitable for defi nitive interventions. This publication discusses current indications for BAV, the main stages of the procedure, possible complications, and treatment outcomes.

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