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

- 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].

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Aortic valve replacement after iatrogenic injury related to an Impella device

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492320980942 ◽

2020 ◽

pp. 021849232098094

Author(s):

Daiki Saitoh ◽

Hajime Kin

Keyword(s):

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Transthoracic Echocardiography ◽

Coronary Intervention ◽

Aortic Insufficiency ◽

Iatrogenic Injury ◽

Replacement Surgery ◽

Percutaneous Coronary ◽

Anteroseptal Myocardial Infarction

The Impella device is used routinely during coronary interventions, and device-related iatrogenic injury requiring surgical repair is rarely reported. We report a case of iatrogenic aortic valve injury due to Impella device insertion, necessitating aortic valve replacement surgery. A 55-year-old woman with acute anteroseptal myocardial infarction underwent a successful percutaneous coronary intervention and Impella insertion for hemodynamic support. Four months later, she experienced congestive heart failure; transthoracic echocardiography revealed new-onset severe aortic insufficiency. Aortic valve replacement was performed without complications. Follow-up transthoracic echocardiography should be performed after Impella removal to avoid delay in treating residual aortic insufficiency.

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Left Main Coronary Ostial Stenosis after Aortic Valve Replacement: A Case Report

Clinical Medicine Insights Case Reports ◽

10.4137/ccrep.s40851 ◽

2016 ◽

Vol 9 ◽

pp. CCRep.S40851 ◽

Cited By ~ 2

Author(s):

Munish Sharma ◽

Daniel Mascarenhas

Keyword(s):

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Coronary Intervention ◽

Left Ventricular ◽

Left Main ◽

Coronary Syndrome ◽

Coronary Ostial Stenosis ◽

Exact Etiology ◽

Life Threatening

Coronary ostial stenosis is a rare but potentially life-threatening complication of aortic valve replacement (AVR). It can present potential complications such as acute coronary syndrome, left ventricular failure, ventricular arrhythmias, or sudden death. Exact pathogenetic mechanism is not known, but a few hypotheses have been proposed. We present a case of left main coronary stenosis 11 months after AV R was done for symptomatic critical aortic stenosis. High index of clinical suspicion and timely coronary angiography helped to determine the exact etiology. A percutaneous coronary intervention was done emergently. The patient has done very well so far.

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Biologic Valve Leaflet Perforation causing Persistent Aortic Insufficiency after Successful Transcatheter Closure of Paravalvular Leak

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0000000000000202 ◽

2015 ◽

Vol 10 (5) ◽

pp. 349-351

Author(s):

Imad F. Tabry ◽

Mammen P. Zakharia ◽

Gordon D. Onstadt

Keyword(s):

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Transcatheter Closure ◽

Aortic Insufficiency ◽

Paravalvular Leak ◽

Valve Leaflet

Persistent paravalvular leak after aortic valve replacement prompted transcatheter closure with an Amplatzer VSD device. Although technically a successful procedure, aortic insufficiency persisted, leading to surgical reexploration and valve replacement.

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