[Opacification of a coronary vein during left ventriculography with inadvertent myography in a 78-year-old woman with aortic stenosis].
A 78 year-old woman had a NYHA II dyspnoea, which was related to a calcified aortic stenosis. Functional aortic valvular surface was calculated to 0.75 cm2 by echocardiography. In addition, there were important mitral calcifications without mitral stenosis. The left ventricular contractility was normal, but there was a significant left ventricular hypertrophy. At the time of the coronary angiography, the aortic valve was crossed with difficulty. A "pigtail" probe was positioned and during left ventricular angiography, an unexpected aspect of myography was observed with an unusual opacification of the interventricular posterior coronary vein, draining in the coronary sinus. The patient remained strictly asymptomatic during all the procedure. Two echographic controls carried out in the 24 following hours appeared normal, without pericardial effusion nor new parietal anomaly of the left ventricle. Five weeks later, the patient underwent an aortic valve replacement without complication.
Boulmier
D
D
Département de cardiologie, centre hospitalier universitaire (CHU) de Rennes, rue Henri-Le-Guilloux, 35000 Rennes, France. dominique.boulmier@chu-rennes.fr
Bedossa
M
M
Le Breton
H
H
D000368:Aged; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging* / Q000601:surgery; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003331:Coronary Vessels; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009213:Myography; D013997:Time Factors