Severe aortic regurgitation complicating percutaneous aortic valve valvuloplasty

1989 ◽  
Vol 16 (2) ◽  
pp. 130-132 ◽  
Author(s):  
Larry S. Dean ◽  
Jerry W. Chandler ◽  
Carlos B. Saenz ◽  
William A. Baxley ◽  
Thomas M. Bulle
Keyword(s):  
Aortic Valve ◽  
Aortic Regurgitation ◽  
Severe Aortic Regurgitation

Emergency aortic root replacement with the Bioconduit stentless aortic valve conduit

2020 ◽  
Vol 25 (6) ◽  
pp. 2055-2059
Author(s):  
ADRIAN TULIN ◽  
◽  
OVIDIU STIRU ◽  
MIRUNA LUANA MIULESCU ◽  
LAURA RADUCU ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Regurgitation ◽  
Aortic Root ◽  
Aortic Root Replacement ◽  
Bentall Operation ◽  
Severe Aortic Regurgitation ◽  
Valve Conduit ◽  
Successful Case ◽  
Valved Conduit

This report concerns a 73-year-old woman who presented with asymptomatic aortic root an-eurysm with severe aortic regurgitation. The purpose of this article is to present our first successful case for emergency aortic root replacement (Bentall operation) that involves annular implantation of a pericardial valved conduit (Bioconduit TM, Biointegral Surgical, Inc., Ontario, Canada) and to discuss some essential technical clue issues related to this approach.

A case of quadricuspid aortic valve with severe aortic regurgitation diagnosed by transthoracic echocardiography

Choonpa Igaku ◽  
2011 ◽  
Vol 38 (4) ◽  
pp. 461-464
Author(s):  
Koutatsu NOMURA ◽  
Yoshikazu YAZAKI ◽  
Masako MIYASHITA ◽  
Sachiko OOTSUKI ◽  
Yutaka KUMAGAI ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Regurgitation ◽  
Transthoracic Echocardiography ◽  
Quadricuspid Aortic Valve ◽  
Severe Aortic Regurgitation

scholarly journals Quadricuspid aortic valve associated with severe aortic regurgitation.

1985 ◽  
Vol 49 (2) ◽  
pp. 190-191 ◽  
Author(s):  
MASAHIKO MATSUMOTO ◽  
SHIGEHIKO MIKI ◽  
KENJI KUSUHARA ◽  
YUICHI UEDA ◽  
YUTAKA OHKITA ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Regurgitation ◽  
Quadricuspid Aortic Valve ◽  
Severe Aortic Regurgitation

scholarly journals Transcatheter aortic valve implantation for severe aortic regurgitation in a patient with end-stage respiratory failure

2020 ◽  
Vol 26 (1) ◽  
pp. 58-70
Author(s):  
Aleksandra Cherneva ◽  
Zoran Stankov ◽  
Naidenka Zlatareva ◽  
Iveta Tasheva ◽  
Georgi Dobrev ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Aortic Valve ◽  
Aortic Regurgitation ◽  
Functional Class ◽  
Severe Aortic Regurgitation ◽  
Transcatheter Aortic Valve ◽  
History Of ◽  
And Migration ◽  
End Stage ◽  
Valve Implantation

We report a case of a high-risk 73-year–old patient with a combined aortic valve disease with predominant severe, symptomatic aortic regurgitation and a history of an end-stage respiratory failure with prohibitive surgical risk who was successfully treated using a minimalist approach to implant off-label а self-expandable Medtronic Evolut R prosthesis. This case report demonstrates that the self-expandable prosthesis Medtronic Evolut R might be implanted without tissue damage and migration in a moderate-calcified tricuspid aortic valve with predominant regurgitation and mild stenosis with satisfactory hemodynamic results and improvement in functional class heart failure in a patient with concomitant severe respiratory failure.

scholarly journals Diastolic Function Predicts Outcome After Aortic Valve Replacement in Patients with Chronic Severe Aortic Regurgitation

2009 ◽  
Vol 32 (8) ◽  
pp. E19-E23 ◽  
Author(s):  
Murat Çaylı ◽  
Mehmet Kanadaşı ◽  
Onur Akpınar ◽  
Ayhan Usal ◽  
Hakan Poyrazoglu
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Diastolic Function ◽  
Aortic Regurgitation ◽  
Valve Replacement ◽  
Severe Aortic Regurgitation

scholarly journals P249 Iatrogenic aortic cusp laceration causing severe acute traumatic aortic regurgitation secondary to complex percutaneous coronary intervention using rotablator;3DTEE-anatomic correlates

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
V Vadgaonkar ◽  
H Tarief ◽  
S Shivappa ◽  
L Sulaibikh ◽  
S Saif ◽  
...  
Keyword(s):  
Heart Failure ◽  
Aortic Valve ◽  
Aortic Regurgitation ◽  
High Speed ◽  
Past History ◽  
Case Reports ◽  
Free Margin ◽  
Severe Aortic Regurgitation ◽  
Percutaneous Coronary ◽  
Coronary Cusp

Abstract Clinical case 59 years old male known case of long standing diabetes and dyslipidemia presented to our institute with Non-STEMI.His past history was significant for multiple admissions with acute coronary syndromes and percutaneous coronary interventions(PCI). Echocardiogram in this presentation showed preserved biventricular systolic function with no valvulopathies. He was taken up for coronary angiogram which showed significant calcified angulated lesion in LAD/LCX(Left anterior descending and circumflex) with diffuse disease in Ramus/RCA. Mode of revascularisation was discussed in detail with the patient for Rotablation-guided PCI to LAD/LCX vs CABG.He preferred and underwent complex PCI to LAD. During the procedure he developed acute heart failure which was managed conservatively. Immediate TTE showed new severe aortic regurgitation(AR) with probable left coronary cusp(LCC) perforation and preserved LVEF.After stabilization, he was scheduled for TEE which showed tear in the LCC with complex fragmented jet of holodiastolic AR filling the entire LVOT.There was new late diastolic to early systolic MR.3DTEE Enface view of the aortic valve was evident of ovoid shaped laceration in LCC extending till the free margin (Fig 1C). There were additional tears in Non-coronary cusp(NCC) extending till the free margin of right coronary cusp(RCC).3DTEE colour was notable for regurgitant jet origin from LCC/NCC (Fig 2B). Based on above findings,He was offered aortic valve intervention but was reluctant initially.He presented 2 months later with exertional dyspnoea, mild LV dilatation and drop in LVEF to 50%.He consented for surgery and underwent bioprosthetic Aortic valve replacement because of extensive cusp tear and deformation of the valve along with complete revascularisation of the remaining diseased coronaries.Post-operative course was complicated by vasoplegic arrest and acute renal failure which was successfully managed conservatively. Discussion We report this case for the rarity of this post-PCI iatrogenic complication and the incremental role of 3DTEE in identifying the exact pathology.It was proposed that during PCI multiple stalling of rotatbur in calcified LAD caused traction and eventually disengagement of guide causing rotabur to freely hang in ascending aorta close to the cusps.Possibly this rotablator with very high speed(180000rpm) would have momentarily come in contact with the aortic cusps causing cuspal perforation and heart failure in Cath lab.3DTEE correlated very well with the anatomo-pathology and matched with intraoperative finding as shown in figures 2A & 2C.These findings prior to aortic cross clamp could significantly reduce time of surgery as he had an additional CABG procedure to be performed.There are few isolated case reports of post PCI aortic valve perforation but probably ours is the first one secondary to the use of rotablator with near involvement of all the cusps and reasonably accurate 3DTEE-anatomic characterisation. Abstract P249 Figure.

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