Myocardial perforation by a guidewire crossing a stenotic aortic valve during cardiac catheterization.
Myocardial perforation by a guidewire after retrograde crossing of a stenotic aortic valve during cardiac catheterization is rare. We present a patient with calcific aortic stenosis who suffered this potentially life-threatening complication and in whom conservative treatment was successful. Early recognition of this complication is important for the operator performing cardiac catheterizations in patients with calcific aortic stenosis.
Swinkels
Ben M
BM
ten Cate
Tim J F
TJ
Haenen
Nico A
NA
Rensing
Benno J W M
BJ
Defauw
Jo J A M
JJ
Jaarsma
Wybren
W
D000368:Aged; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging*; D002114:Calcinosis / Q000000981:diagnostic imaging; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation*; D004452:Echocardiography; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography