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Updated: May 2, 2026
08:50
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
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Aortic valve lesion after coronary angiography
Tanina Rolf1, Piergiorgio Tozzi, Aurelien Roumy
1Department of Cardiovascular Surgery, Lausanne University Hospital, Rue du Bugnon 46, 1011 Lausanne, Switzerland. tanina.rolf@chuv.ch
Interactive Cardiovascular and Thoracic Surgery
|November 5, 2010
Summary
A patient suspected of acute coronary syndrome developed severe aortic valve insufficiency after a coronary angiography. The cause was identified as a perforated leaflet, likely from the transcatheter procedure.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Acute coronary syndrome (ACS) is a critical condition requiring prompt diagnosis and intervention.
- Coronary angiography is a standard diagnostic tool for ACS, but procedural complications can occur.
Observation:
- A 56-year-old patient presented with suspected ACS and underwent coronary angiography.
- Following the procedure, echocardiography revealed acute severe aortic valve insufficiency.
- Intraoperative findings indicated a perforated aortic valve leaflet.
Findings:
- The perforated aortic valve leaflet was likely caused by trauma during the transcatheter coronary angiography procedure.
- Despite initial negative findings for significant coronary lesions, a serious cardiac complication arose post-procedure.
Implications:
- This case highlights a rare but severe complication of coronary angiography, emphasizing the need for vigilance.
- Accurate diagnosis and management of iatrogenic aortic valve injury are crucial for patient outcomes.
- Further research into preventative measures and improved techniques for transcatheter procedures may be warranted.
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