Skip to main content
Log in

Judkins right guiding catheter bailed out acute aortic insufficiency during balloon aortic valvuloplasty

  • Case Report
  • Published:
Cardiovascular Intervention and Therapeutics Aims and scope Submit manuscript

Abstract

The introduction of transcatheter aortic valve implantation focuses attention on balloon aortic valvuloplasty (BAV) once again. BAV is effective for several clinical conditions, but fatal complications including acute severe aortic insufficiency may occur, although rare. We report a case of acute aortic insufficiency occurring during BAV, which was bailed out remarkably by the catheter method. When acute aortic insufficiency occurs during BAV, this simple and effective procedure should be attempted before conversion to emergency surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Saia F, Marrozzini C, Ciuca C, Guastaroba P, Taglieri N, Palmerini T, et al. Emerging indications, in-hospital and long-term outcome of balloon aortic valvuloplasty in the transcatheter aortic valve implantation era. Eurointervention. 2013;8:1388–97.

    Article  PubMed  Google Scholar 

  2. Patsalis PC, Al-Rashid F, Neumann T, Plicht B, Hildebrandt HA, Wendt D, et al. Preparatory balloon aortic valvuloplasty during transcatheter aortic valve implantation for improved valve sizing. JACC Cardiovasc Interv. 2013;6:965–71.

    Article  PubMed  Google Scholar 

  3. Ben-Dor I, Maluenda G, Dvir D, Barbash IM, Okubagzi P, Torguson R, et al. Balloon aortic valvuloplasty for severe aortic stenosis as a bridge to transcatheter/surgical aortic valve replacement. Catheter Cardiovasc Interv. 2013;82:632–7.

    Article  PubMed  Google Scholar 

  4. Pedersen WR, Klaassen PL, Boisjolie CR, Pierce TA, Harris KM, Lesser JR, et al. Feasibility of transcatheter intervention for severe aortic stenosis in patients ≥90 years of age: aortic valvuloplasty revisited. Catheter Cardiovasc Interv. 2007;70:149–54.

    Article  PubMed  Google Scholar 

  5. Brdlik O, Laub GW, Fernandez J, Morse D, Sutter FP, McGrath LB. Aortic valve disruption after percutaneous aortic balloon valvoplasty. Ann Thorac Surg. 1990;49:822–3.

    Article  CAS  PubMed  Google Scholar 

  6. Leon MB, Smith CR, Mack M, Miller DC, Moses JW, Svensson LG, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010;363:1597–607.

    Article  CAS  PubMed  Google Scholar 

  7. Smith CR, Leon MB, Mack MJ, Miller DC, Moses JW, Svensson LG, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med. 2011;364:2187–98.

    Article  CAS  PubMed  Google Scholar 

  8. Treasure CB, Schoen FJ, Treseler PA, Bitti JA. Leaflet entrapment causing acute severe aortic insufficiency during balloon aortic valvuloplasty. Clin Cardiol. 1989;12:405–8.

    Article  CAS  PubMed  Google Scholar 

  9. Gerber RT, Osborn M, Mikhail GW. Delayed mortality from aortic dissection post transcatheter aortic valve implantation (TAVI): the tip of the iceberg. Catheter Cardiovasc Interv. 2010;76:202–4.

    Article  PubMed  Google Scholar 

  10. Minich LL, Tani LY, Hawkins JA, McGough EC, Shaddy RE. Use of echocardiography for detecting aortic valve leaflet avulsion and predicting repair potential after balloon valvuloplasty. Am J Cardiol. 1995;75:533–5.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors would like to thank the other members of the TAVI team: Kenichi Hagiya, MD Yuko Utanohara, MD Harutoshi Tamura, MD Keitaro Mahara, MD Itaru Takamisawa, MD Makoto Suzuki, MD Nobuo Iguchi, MD Hitonobu Tomoike, MD.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ryosuke Higuchi.

Ethics declarations

Conflict of interest

The authors declare no conflict of interest.

Ethical rights statement

Written informed consent was obtained from the patient for publication of this case report and accompanying image.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (MP4 1991 kb)

Supplementary material 2 (MP4 2506 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Higuchi, R., Tobaru, T., Naito, K. et al. Judkins right guiding catheter bailed out acute aortic insufficiency during balloon aortic valvuloplasty. Cardiovasc Interv and Ther 32, 151–153 (2017). https://doi.org/10.1007/s12928-016-0381-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12928-016-0381-5

Keywords

Navigation