case_images: PMC4241694_01
case_images: PMC4241694_02
case_images: PMC4241694_03
case_images: PMC4241694_04
case_images: Balloon aortic valvuloplasty is performed under rapid ventricular pacing prior to liver transplantation.
case_images: CRIC2014-325136.001.jpg
case_images: PMC4241694_04_CRIC2014-325136.001.jpg
case_images: fig1
case_images: Patients 1, 3, and 4 were listed for transplant with plans for staged valvuloplasty less than 48 hours prior to OLT (Figure 1).
case_images: Transthoracic echocardiography before and after valvuloplasty shows a calcified, stenotic aortic valve with AVA of 0.8 cm2 by planimetry and continuity equation (VTI). Postvalvuloplasty there is demonstrated improvement in aortic valve gradients as well as AVA.
case_images: CRIC2014-325136.002.jpg
case_images: PMC4241694_04_CRIC2014-325136.002.jpg
case_images: fig2
case_images: Each underwent successful BAV with invasive and echo documentation of improvements in valvular gradients and AVA. (Figure 2) Each patient then underwent OLT within 38 hours of valvuloplasty.