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Iatrogenic Aortic Valve Perforation after Ventricular Septal Defect Repair
Chonglei Ren1, Shengli Jiang1, Mingyan Wang1
1Department of Cardiovascular Surgery of Chinese PLA General Hospital, Institute of Cardiac Surgery, Beijing, China.
Abstract:
Iatrogenic aortic valve (AV) perforation during non-aortic cardiac operations is a rare complication. The suture-related inadvertent injury to an AV leaflet can produce leaflet perforation with aortic regurgitation after ventricular septal defect repair (VSDR). We report three consecutive patients who had iatrogenic aortic leaflet perforation during VSDR in other hospitals and referred to our hospital for reoperation. In all three cases, the perforated AV leaflets were preserved and repaired by autologous pericardial patch or direct local closure.
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