Related Experiment Video

Updated: Jun 30, 2026

A Minimally Invasive Model of Aortic Stenosis in Swine
06:51

A Minimally Invasive Model of Aortic Stenosis in Swine

Published on: October 20, 2023

Myocardial perforation by a guidewire crossing a stenotic aortic valve during cardiac catheterization

Ben M Swinkels, Tim J F ten Cate, Nico A Haenen

    International Journal of Cardiology
    |September 19, 2008
    PubMed

    Insights

    Guidewire perforation of the heart during cardiac catheterization is a rare but serious complication. Conservative treatment can be successful for patients with calcific aortic stenosis experiencing this issue.

    Area of Science:

    • Cardiology
    • Interventional Cardiology
    • Cardiac Procedures

    Background:

    • Cardiac catheterization is a common procedure for diagnosing and treating heart conditions.
    • Calcific aortic stenosis poses unique challenges during interventional procedures.
    • Retrograde crossing of a stenotic aortic valve increases procedural risk.

    Observation:

    • Myocardial perforation by a guidewire is a rare complication during cardiac catheterization.
    • This specific case involved retrograde crossing of a stenotic aortic valve.
    • The patient presented with calcific aortic stenosis.

    Findings:

    • Conservative management was successfully employed for the myocardial perforation.
    • Early recognition of guidewire-induced myocardial perforation is crucial.
    • The complication was potentially life-threatening.

    Implications:

    • This case highlights the importance of vigilance during cardiac catheterization in patients with aortic stenosis.
    • Conservative treatment strategies should be considered for myocardial perforation.
    • Improved awareness can enhance patient safety in interventional cardiology.

    More Related Videos

    Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels08:12

    Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels

    Published on: May 26, 2023

    Related Concept Videos

    Cardiac Catheterization II: Right Heart Catheterization01:21

    Cardiac Catheterization II: Right Heart Catheterization

    Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
    Cardiac Catheterization III: Left Heart Catheterization01:24

    Cardiac Catheterization III: Left Heart Catheterization

    Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
    Esophageal Perforation-I: Introduction01:22

    Esophageal Perforation-I: Introduction

    Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
    The location of esophageal perforation can vary, occurring anywhere along the esophagus.
    Cardiac Catheterization I: Pre-Procedure Overview01:28

    Cardiac Catheterization I: Pre-Procedure Overview

    Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
    Cardiac Catheterization IV: Nursing Management01:26

    Cardiac Catheterization IV: Nursing Management

    Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
    Aneurysm III: Interprofessional Care01:26

    Aneurysm III: Interprofessional Care

    Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...