Acute myocardial infarction during percutaneous aortic balloon valvuloplasty.
Balloon valvuloplasty has been shown to be a relatively safe and effective intervention in palliating the symptoms of severe calcific aortic stenosis in the elderly [1-7]. Although the mechanism of balloon valvuloplasty is plastic deformation and fracture of the calcified valve tissue [2], complications such as embolic events or acute myocardial infarction due to aortic balloon valvuloplasty are very rare. Previously published reports mentioned only one case of cerebral embolism [5] and two patients with late fatal myocardial infarction [4]. In this report we present an elderly patient with calcific aortic stenosis who developed an acute lateral myocardial infarction during percutaneous balloon aortic valvuloplasty.
Deligonul
U
U
Cardiac Catheterization Laboratory, St. Louis University Medical Center, MO 63104.
Kern
M J
MJ
Bell
S T
ST
Gabliani
G
G
Labovitz
A
A
Vandormael
M
M
D000368:Aged; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000628:therapy*; D002404:Catheterization / Q000009:adverse effects*; D002932:Cineangiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology*