Severe chronic aortic regurgitation after percutaneous coronary intervention: a case report and literature review.
Johan O WedinPer VikholmUlrica AlströmPetter SchillerPublished in: European heart journal. Case reports (2021)
We performed a literature review and identified 16 reported cases of iatrogenic severe aortic regurgitation related to coronary catheterization or percutaneous coronary intervention. All patients developed an acute aortic regurgitation and, thus, we report the first case of a delayed complication caused by a protruding coronary stent. The surgical strategy is related to the extent of the damage, where smaller perforations or lacerations seems to be feasible for aortic valve repair and larger defects more often lead to aortic valve replacement. Our patient developed a fibrotic right coronary cusp which could not be used to perform a successful aortic valve repair.
Keyphrases
- aortic valve
- aortic stenosis
- aortic valve replacement
- percutaneous coronary intervention
- coronary artery disease
- transcatheter aortic valve replacement
- transcatheter aortic valve implantation
- coronary artery
- ejection fraction
- acute myocardial infarction
- case report
- st segment elevation myocardial infarction
- drug induced
- end stage renal disease
- st elevation myocardial infarction
- coronary artery bypass grafting
- acute coronary syndrome
- antiplatelet therapy
- newly diagnosed
- chronic kidney disease
- oxidative stress
- early onset
- prognostic factors
- heart failure
- atrial fibrillation
- coronary artery bypass
- left ventricular
- peritoneal dialysis
- respiratory failure
- ultrasound guided
- mechanical ventilation
- systemic sclerosis
- extracorporeal membrane oxygenation