Case Report, Int J Cardiovasc Res Vol: 4 Issue: 5
Aortic Ballon Valvuloplasty Is Still A Valuable Option For High Risk Patients With Severe Aortic Stenosis Before Surgery For Hip Fracture
| Carlo Rostagno1,2*, Alessandro Cartei2, Roberto Buzzi3 and Gennaro Santoro4 | |
| 1Department of Experimental and Clinical Medicine, University of Florence, Italy | |
| 2Department of internal medicine and post – surgical, AOU Careggi Florence, Italy | |
| 3Department of Traumatology and Orthopedics, AOU Careggi Florence, Italy | |
| 4Department of Interventional cardiology, AOU Careggi Florence, Italy | |
| Corresponding author : Carlo Rostagno Department of Experimental and Clinical Medicine, University of Florence Viale Morgagni 85, 50134 - Florence, Italy E-mail: carlo.rostagno@unifi.it |
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| Received: March 11, 2015 Accepted: April 04, 2015 Published: April 06, 2015 | |
| Citation: Rostagno C, Cartei A, Cristo AD, Buzzi R, Santoro G (2015) Aortic Ballon Valvuloplasty is still a Valuable Option for High Risk Patients with Severe Aortic Stenosis before Surgery for Hip Fracture. Int J Cardiovasc Res 4:5. doi:10.4172/2324-8602.1000222 |
Abstract
Aortic Ballon Valvuloplasty is still a Valuable Option for High Risk Patients with Severe Aortic Stenosis before Surgery for Hip Fracture
Early treatment of hip fracture in the elderly has been reported to increase long-term survival and favor functional recovery. Comorbidities are common in this population and may negatively affect survival after surgery. Severe aortic stenosis has been reported in 5-10% of patients with hip fracture. Patients with low left ventricular ejection fraction and subject with other severe comorbidities are at particular high risk when they need to undergo major non cardiac surgery. In aortic stenosis hip surgery, a high bleeding risk condition, 9 a, may be associated with a severe lowoutput state. In patients who require urgent major non-cardiac surgery balloon aortic valvuloplasty may decrease pressure overload and perioperative risk? The procedure is suggested by the recent ESC guidelines (recommendation Class IIb), but not by AHA/ACC guidelines. The two cases of high risk severe aortic stenosis treated with aortic balloon valvuloplasty undergoing thereafter uneventful hip surgery suggest that aortic valve balloon valvuloplasty may still be useful in selected patients.
