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Updated: Jun 3, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Aortic valve perforation during aortic valvuloplasty: Identification and strategies for prevention
Gian Paolo Ussia1, Kunal Sarkar, Corrado Tamburino
1Division of Cardiology, Ferrarotto Hospital, University of Catania, Italy; Excellence Through Newest Advances (ETNA) Foundation, Catania, Italy. gpussia@hotmail.com
Abstract:
Balloon aortic valvuloplasty has seen a revival in interest because of its role in predilation and preparation of the annulus before trans catheter aortic valve implantation. Aortic valve cusp perforation is a serious complication that needs early recognition and prompt corrective measures to prevent a poor procedural outcome or conversion to emergent surgery. A number of useful angiographic and technical findings can alert the operator about the possibility of this complication. Failure to recognize cusp perforation can lead to serious procedural complications like severe aortic regurgitation, suboptimal prosthesis deployment, and function that can necessitate emergent open cardiac surgery.
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