Practice Quiz

CMC Cardiac Medicine Certification

Category - CMC

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An 80-year old male is having end-stage aortic stenosis. Definitive treatment for his condition is aortic valve replacement but he is critically ill and surgery cannot be performed at the moment. Which surgical procedure can be used as a bridge to aortic valve replacement surgery in this patient?
  1. Commissurotomy
  2. Balloon Valvuloplasty
  3. Aortotomy
  4. Debridement
Explanation
Answer- B - Balloon valvuloplasty is done for critically ill patients with end-stage aortic stenosis as a "bridge" to aortic valve replacement. Decalcification/debridement is considered in patients with mild to moderate AS in whom the primary indication for surgery is coronary artery disease. Commissurotomy is useful in a small percentage of patients with aortic rheumatic valve disease with a trileaflet valve and minimal to no calcification.
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