Balloon aortic valvuloplasty as a bridge to liver transplantation in patients with severe aortic stenosis: a case series

Transplant Proc. 2014 Dec;46(10):3492-5. doi: 10.1016/j.transproceed.2014.08.035.

Abstract

Background: Patients with end-stage liver disease and severe aortic stenosis pose a significant perioperative management challenge during liver transplantation (OLT). This patient population is at risk for significant morbidity and mortality and is often denied transplantation.

Case series: We describe the successful use of balloon aortic valvuloplasty as a bridging therapy to facilitate perioperative management during OLT with traditional open aortic valve replacement after recovery from OLT.

Conclusions: Valvuloplasty should be considered as an option to reduce perioperative risk in this patient population.

MeSH terms

  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / surgery*
  • Balloon Valvuloplasty / methods*
  • End Stage Liver Disease / complications
  • End Stage Liver Disease / surgery*
  • Heart Valve Prosthesis*
  • Humans
  • Liver Transplantation*
  • Male
  • Middle Aged
  • Severity of Illness Index