Aortic Regurgitation After Right Coronary Cusp Injury During Percutaneous Coronary Intervention
Taylor Bowman1, Donal O'Donoghue2, Jose L Diz Ferre3
1Anesthesiology, Cleveland Clinic South Pointe Hospital, Cleveland, USA.
Insights
Coronary cusp injury during angiography is rare but can lead to severe aortic regurgitation. This case highlights a patient who was asymptomatic after the procedure but required aortic valve replacement due to injury found during subsequent surgery.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Coronary angiography carries risks, including rare complications affecting the aortic valve.
- Injury to a coronary cusp of the aortic valve can occur during attempts to cannulate coronary artery ostia.
Abstract:
Injury of a coronary cusp of the aortic valve is a rare complication that can occur during coronary angiography. It usually occurs from multiple attempts with different catheters to access the ostia of the right coronary artery, but it has also occurred accessing the ostia of the left coronary artery. We present the case of a patient who underwent coronary angiography with suspected coronary cusp injury that remained asymptomatic but was found to have severe aortic regurgitation during coronary artery bypass graft surgery (CABG) one week later, requiring an aortic valve replacement.
