Calcified bicuspid aortic valve mass prolapsing into the left main coronary artery.
We report a case of a mobile calcific mass on the aortic valve that prolapsed into the left main coronary artery of a 51-year-old man. This case and a review of the literature suggest that calcific embolization to coronary arteries is a rare but possibly underrecognized complication of calcified degenerative or bicuspid aortic valves. This potentially catastrophic complication of calcified aortic valves needs to be suspected and recognized in clinical practice.
Goraya
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TY
Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, Minn. 55905, USA. goraya.tauqir@mayo.edu
Mookadam
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F
Lapeyre
A C
AC
Daly
R C
RC
Tazelaar
H D
HD
Klarich
K W
KW
D001021:Aortic Valve / Q000473:pathology*; D002114:Calcinosis / Q000150:complications*; D003327:Coronary Disease / Q000209:etiology*; D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000209:etiology; D006349:Heart Valve Diseases / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000209:etiology; D011391:Prolapse; D018084:Ultrasonography, Interventional