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Aortic valve tumor: an unusual cause of coronary obstruction during cardiac catheterization
D H Israel1, W Sherman, S K Sharma
1Mount Sinai Medical Center, New York, NY 10029.
Insights
Coronary artery obstruction during cardiac catheterization is a rare complication. Aortic valve tumors can obstruct the right coronary artery, causing myocardial ischemia.
Area of Science:
- Cardiology
- Interventional Cardiology
- Oncology
Background:
- Coronary artery obstruction is a rare but serious complication during cardiac catheterization, occurring in 0.15-0.5% of procedures.
- Common causes include thromboembolism, air embolism, and coronary dissection.
Observation:
- This report details a case of a patient experiencing chest pain and myocardial ischemia during cardiac catheterization.
- The patient presented with electrocardiographic evidence indicative of ischemia.
Findings:
- Angiographic findings revealed obstruction of the right coronary artery.
- The obstruction was caused by an aortic valve tumor.
Implications:
- This case highlights aortic valve tumors as a potential, albeit rare, cause of intraprocedural coronary artery obstruction.
- Recognition of this etiology is crucial for accurate diagnosis and management of such complications.
Abstract:
Coronary artery obstruction during cardiac catheterization is a rare but serious complication that has been reported to occur in 0.15 to 0.5% of cases. The most common causes of intraprocedural coronary occlusion include thromboembolism, air embolism, and coronary dissection. This report describes the angiographic findings of a patient who developed chest pain with electrocardiographic evidence of myocardial ischemia due to obstruction of the right coronary artery by an aortic valve tumor.