title: Myocardial perforation by a guidewire crossing a stenotic aortic valve during cardiac catheterization.
abstract: 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.
authors.forename: Ben M
authors.initials: BM
authors.lastname: Swinkels
authors.forename: Tim J F
authors.initials: TJ
authors.lastname: ten Cate
authors.forename: Nico A
authors.initials: NA
authors.lastname: Haenen
authors.forename: Benno J W M
authors.initials: BJ
authors.lastname: Rensing
authors.forename: Jo J A M
authors.initials: JJ
authors.lastname: Defauw
authors.forename: Wybren
authors.initials: W
authors.lastname: Jaarsma
mesh_terms: 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