scholarly journals Cardiac Gated Computed Tomography Used to Confirm Iatrogenic Aortic Valve Leaflet Perforation after Mitral Valve Replacement

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Luke Oakley ◽  
Kathleen Love ◽  
Alfredo Ramirez ◽  
Gilbert Boswell ◽  
Keshav Nayak
Keyword(s):  
Computed Tomography ◽  
Mitral Valve ◽  
Aortic Valve ◽  
Aortic Insufficiency ◽  
Rapid Diagnosis ◽  
Valve Leaflet ◽  
Iatrogenic Perforation ◽  
Aortic Valve Leaflet ◽  
Intraoperative Transesophageal Echocardiography

Aortic insufficiency from iatrogenic valve perforation from nonaortic valve operations is rarely reported despite the prevalence of these procedures. Rapid diagnosis of these defects is essential to prevent deterioration of cardiac function. In this paper, we describe a young man who reported to our institution after two open cardiac surgeries with new aortic regurgitation found to be due to an iatrogenic perforation of his noncoronary aortic valve cusp. This defect was not appreciated by previous intraoperative transesophageal echocardiography and was inadequately visualized on follow-up transthoracic and transesophageal echocardiograms. In contrast, cardiac gated computed tomography clearly visualized the defect and its surrounding structures. This case highlights the utility of cardiac gated computed tomography for cases of suspected valvular perforation when echocardiography is not readily available or inadequate imaging is obtained.

scholarly journals Case Report: - Aortic Valve Replacement due to Aortic Valve Leaflet Perforation after PCI

2020 ◽  
Vol 5 (9) ◽  
pp. 511-513
Author(s):  
Yasser Shaban Mubarak ◽  
MD; Muhammad Hussian Abdel Wahaab, MD
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Coronary Intervention ◽  
Aortic Insufficiency ◽  
Iatrogenic Injury ◽  
Valve Leaflet ◽  
Coronary Syndrome ◽  
Aortic Valve Leaflet ◽  
Aortic Leaflet

- Percutaneous Coronary Intervention (PCI) is widely recognized as an effective treatment for Acute Coronary Syndrome (ACS). Inspite of advances in equipment and experience of interventional cardiologist, still there are rare complications occurred [1]. Iatrogenic injury of the aortic valve leaflet is a rare. Aortic insufficiency (AI) after a PCI suggests an iatrogenic valve injury. Aortic leaflet injury is not common but possible complication of PCI. Because of the serious consequences, it should be mentioned in the informed consent. Aortic repair of iatrogenic injury is possible, and it can be performed with excellent clinical and functional midterm results. So, Aortic valve replacement (AVR) is the last option [2].

scholarly journals Reconstruction of the aortic valve leaflet with autologous pulmonary artery wall

2020 ◽  
Vol 59 (1) ◽  
pp. 269-270
Author(s):  
Jean-Marc El Arid ◽  
Paul Neville ◽  
Nathalie Soulé ◽  
Bruno Lefort
Keyword(s):  
Aortic Valve ◽  
Pulmonary Artery ◽  
Young Patients ◽  
Valve Leaflet ◽  
Ross Procedure ◽  
Valve Repair ◽  
Artery Wall ◽  
Repair Technique ◽  
Aortic Valve Leaflet

Abstract Leaflet reconstruction outcomes in young patients can be compromised by treated autologous pericardium utilization. We present a new and simple unicuspid/unicommissural aortic valve repair technique with an autologous pulmonary artery wall graft. With comparative and longitudinal follow-up studies, this technique could constitute a living reconstruction of the aortic valve that does not preclude a future Ross procedure.

Influence of aortic valve leaflet calcification on dynamic aortic valve motion assessed by cardiac computed tomography

2016 ◽  
Vol 10 (6) ◽  
pp. 485-490
Author(s):  
Keisuke Minami ◽  
Kihei Yoneyama ◽  
Masaki Izumo ◽  
Kengo Suzuki ◽  
Yasuyoshi Ogawa ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Aortic Valve ◽  
Cardiac Computed Tomography ◽  
Valve Leaflet ◽  
Aortic Valve Leaflet ◽  
Valve Motion

Surgery on a Patient with Iatrogenic Aortic Valve Leaflet Perforation after Repair of a Congenital Ventricular Septal Defect

2015 ◽  
Vol 16 (2) ◽  
pp. 103 ◽  
Author(s):  
Tao Zhang ◽  
Shengli Jiang ◽  
Yao Wang ◽  
Mingyan Cheng ◽  
Tingting Cheng ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Septal Defect ◽  
Valve Leaflet ◽  
Valve Regurgitation ◽  
Aortic Valve Regurgitation ◽  
Iatrogenic Perforation ◽  
Aortic Valve Leaflet ◽  
Cardiac Operations ◽  
Successful Repair

Aortic valve regurgitation caused by a leaflet perforation occurs most often with infective endocarditis involving the aortic valve. Although rare, leaflet perforation can be caused by suture-related injury during cardiac operations, such as mitral valve replacement, ventricular septal defect (VSD) repair, and repair of an ostium primum atrial septal defect. Few reports have described this form of iatrogenic aortic valve leaflet perforation. We used a pericardial patch in a successful repair of an iatrogenic perforation in an aortic valve leaflet that occurred after simple VSD repair.

Templates of flat pericardial patterns for precise aortic cusp extension

2018 ◽  
Vol 26 (5) ◽  
pp. 361-366 ◽  
Author(s):  
Mohammad Bashar Izzat ◽  
Mohammad Mouath Alkhayat
Keyword(s):  
Aortic Valve ◽  
Aortic Insufficiency ◽  
Pericardial Patch ◽  
Aortic Valve Insufficiency ◽  
Aortic Cusp ◽  
Bovine Pericardial Patch ◽  
Natural Geometry ◽  
Intraoperative Transesophageal Echocardiography ◽  
Valve Insufficiency

Background Aortic cusp extension is a subjective and operator-dependent technique. In order to facilitate surgical correction of aortic cusp retraction and reestablishment of adequate cusp coaptation, we sought to develop new templates that can be used to cut flat pericardial sheets into precise cusp extension patches. Methods Each template was designed as a two-dimensional unwrap of the natural geometry of a complete aortic cusp, and a series of templates were made available to correspond with all potential aortic cusp sizes. Based on these templates, aortic cusp extension was performed in 2 patients (aged 54 and 43 years) with significant retraction of the noncoronary aortic cusps and severe aortic valve insufficiency. In each patient, extension of the retracted native noncoronary cusp was undertaken using a bovine pericardial patch that matched the size of adjacent nondiseased native aortic cusps. Results Achieving geometrically perfect aortic cusp extensions was uncomplicated, and intraoperative transesophageal echocardiography confirmed satisfactory aortic valve repairs (aortic insufficiency < 1+ and low transvalvular gradients). Early follow-up transthoracic echocardiography confirmed that all valve cusps met at similar heights in the aortic root, and that their excursions were virtually identical. Conclusions The newly designed templates can be used to cut flat pericardial sheets into exact cusp extension patches, and initial clinical experience indicates that they are useful in performing precise aortic cusp extension procedures and restoring adequate aortic valve competence.

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