A case of iatrogenic aortic valve leaflet perforation after closure of a ventricular septal defect.

The International Journal of Cardiovascular Imaging
Jeong Joo WooSoon Pyo Hong

Abstract

Aortic regurgitation caused by leaflet perforation is most frequently seen in association with infective endocarditis that involves the aortic valve. There have been occasional reports of iatrogenic aortic regurgitation caused by aortic valve injury after cardiac surgery with the use of the transaortic approach or invasive cardiac procedures. Suture-related aortic valve injury can develop during periaortic cardiac surgery, but this has been very rarely reported. Inadvertent injury to an aortic valve leaflet caused by a stitching needle or surgical forceps can produce leaflet perforation with aortic regurgitation. This report describes a case of aortic regurgitation that was caused by iatrogenic aortic valve leaflet perforation, and this occurred in a 22-year-old woman who underwent repair of a ventricular septal defect (VSD) 15 years previously. Transthoracic echocardiography (TTE) showed a defect located at the aortic annulus close to the infundibular septum on a two-dimensional echocardiographic study and we observed an eccentric jet flow into the left ventricle in early diastole on the continuous wave and color flow Doppler studies. A small perforation in the body of the right aortic cusp and mild to moderate aortic regurgit...Continue Reading

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Citations

Oct 18, 2014·Echocardiography·Ramesh C Bansal, Krishnaswamy Chandrasekaran
Jan 1, 2013·Acta Medica (Hradec Králové)·Mehmet DoganEkrem Yeter
Jan 15, 2014·The International Journal of Cardiovascular Imaging·Yunfeng HanYundai Chen
Apr 23, 2019·World Journal for Pediatric & Congenital Heart Surgery·Federica CaldaroniAlessandro Frigiola
Oct 24, 2017·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Chonglei RenChangqing Gao

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