Which surgical procedure is used as a bridge to aortic valve replacement surgery in critically ill patient with end-stage aortic stenosis?
  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 aortic stenosis 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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