Left ventricular perforation during cardiac catheterization in a case of severe calcific aortic stenosis. Should we cross the valve?
With the availability of better hardware and refinements in catheterization techniques, perforation of cardiac structures at cardiac catheterization is a rare event. We report, a 54-year old male who developed LV rupture during a pre-aortic valve replacement catheterization with ensuing tamponade, after several attempts were made to cross a heavily calcified aortic valve. The issues regarding whether the calcific aortic valve should be crossed when reliable echo and color Doppler information is available are discussed along with recent recommendations.
Bhatia
Vineet
V
D001024:Aortic Valve Stenosis / Q000175:diagnosis* / Q000473:pathology; D002114:Calcinosis; D006328:Cardiac Catheterization / Q000009:adverse effects*; D002305:Cardiac Tamponade / Q000209:etiology / Q000628:therapy; D006335:Heart Injuries / Q000209:etiology*; D006352:Heart Ventricles / Q000293:injuries*; D006801:Humans; D008297:Male; D008875:Middle Aged; D020519:Pericardiocentesis