20.500.12556/DiRROS-18692 Balloon aortic valvuloplasty (BAV) as a bridge to aortic valve replacement in cancer patients who require urgent non-cardiac surgery Balloon aortic valvuloplasty (BAV) is a percutaneous treatment option for severe, symptomatic aortic stenosis. Due to early restenosis and failure to improve long term survival, BAV is considered a palliative measure in patients who are not suitable for open heart surgery due to increased perioperative risk. BAV can be used also as a bridge to surgical or transcatheter aortic valve implantation (TAVI) in hemodinamically unstable patients or in patients who require urgent major non-cardiac surgery.We reported 6 oncologic patients with severe aortic stenosis that required a major abdominal and gynecological surgery. In 5 cases we performed BAV procedure alone, in one patients with concomitant coronary artery disease we combined BAV and PCI. With angioplasty and BAV we achieved a good coronary artery flow and an increase in aortic valve area without any periprocedural complications. After the successful procedure, we observed a hemodynamic and symptomatic improvement. As a consequence the operative risk for non-cardiac surgery decreased and the surgical treatment was done without complications in all the 6 cases.We conclude that BAV can be utilized as a part of a complex therapy in severe aortic stenosis aimed to improve the quality of life, decrease the surgical risk for major non-cardiac surgery or as a bridge to surgical or transcatheter aortic valve implantation. aortic valve stenosis elderly comorbidities coronary artery disease aortne zaklopke zdravstvene težave starejših bolezni koronarnih arterij true false true Association of Radiology and Oncology Ljubljana Angleški jezik Slovenski jezik by Authors Neznano 2024-04-16 10:19:16 2024-04-16 10:19:16 2024-04-17 03:46:24 0000-00-00 00:00:00 2014 0 0 str. 62-66, V no. 1 Vol. 48 Mar. 2014 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 2014-03-01 616.1 1318-2099 10.2478/raon-2013-0078 31136729 http://www.degruyter.com/view/j/raon.2014.48.issue-1/raon-2013-0078/raon-2013-0078.xml 1 40c3f99e-fbb9-11ee-ae20-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=25549 RAZ_Kogoj_Polonca_2014.pdf RAZ_Kogoj_Polonca_2014.pdf 1 9F15A34513061B757483EB2864D8A5DB 678e9c5f5841ee8a39a81475d6f3f27a1c7c7ffc1a82292faa289644477200ce 805123bc-fbb9-11ee-ae20-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=25550 Onkološki inštitut Ljubljana 0 0 0