Biradial kissing balloon aortic valvuloplasty as a bridge to transcatheter aortic valve implantation in a morbidly obese patient.
Ammar EljackAmr IdrisKamal FadlallaKarim M Al-AziziPublished in: Proceedings (Baylor University. Medical Center) (2022)
Balloon aortic valvuloplasty (BAV) has been increasingly used to medically optimize patients with severe aortic stenosis prior to surgical or transcatheter aortic valve replacement, as a bridge to palliative therapy, or as palliative therapy. BAV traditionally requires large vascular sheaths to allow for sizable valvuloplasty balloons. Herein, we report a case of a patient who received BAV as a bridge to gastric surgery to facilitate weight loss as a bridge to transcatheter aortic valve replacement. BAV was successfully completed via a biradial approach.
Keyphrases
- aortic stenosis
- transcatheter aortic valve replacement
- aortic valve
- transcatheter aortic valve implantation
- aortic valve replacement
- weight loss
- bariatric surgery
- left ventricular
- case report
- obese patients
- palliative care
- ejection fraction
- minimally invasive
- gastric bypass
- advanced cancer
- type diabetes
- adipose tissue
- coronary artery bypass
- heart failure
- roux en y gastric bypass
- coronary artery
- pulmonary artery
- cell therapy
- replacement therapy
- early onset
- mesenchymal stem cells
- bone marrow
- skeletal muscle
- atrial fibrillation
- insulin resistance