title: Calcified bicuspid aortic valve mass prolapsing into the left main coronary artery.
abstract: 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.
authors.affiliation: Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, Minn. 55905, USA. goraya.tauqir@mayo.edu
authors.forename: T Y
authors.initials: TY
authors.lastname: Goraya
authors.forename: F
authors.initials: F
authors.lastname: Mookadam
authors.forename: A C
authors.initials: AC
authors.lastname: Lapeyre
authors.forename: R C
authors.initials: RC
authors.lastname: Daly
authors.forename: H D
authors.initials: HD
authors.lastname: Tazelaar
authors.forename: K W
authors.initials: KW
authors.lastname: Klarich
mesh_terms: 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