Balloon Aortic Valvuloplasty for a High-Risk Patient Using Percutaneous Cardiopulmonary Support

Kunihiko Yoshino	Kohei Abe	Yusuke Nakanishi
Joji Ito	Hiroyasu Misumi

（Department of Cardiovascular Surgery, St. Luke’s International Hospital＊, Tokyo, Japan）

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.

 

Jpn. J. Cardiovasc. Surg. 45:76-79（2016）

Keywords：AS;PCPS;BAV;reservoir