Percutane transluminale ballonvalvuloplastiek van de aortaklep bij 15 patiënten

- Fifteen patients with severe aortic stenosis, age 23-85 years (mean 65 years) underwent percutaneous transluminal balloonvalvuloplasty of the aortic valve. Five patients had moderate or severe aortic regurgitation. Transvalvular peak systolic gradient decreased from 92 to 51 mm Hg; the aortic valve area increased from 0.60 to 0.83 cm². There were no clinical manifestations of cerebral or peripheral embolism; one patient had a moderate increase of aortic regurgitation. The advantages of this procedure as compared with valvular surgery, especially in the elderly patient, and possible indications are discussed.