title: Pulmonary trunk perforation during transapical minimal invasive aortic valve replacement.
abstract: In this case report we illustrate our experience with a perforation of the pulmonary trunk during a transapical aortic valve implantation in a single case. The patient suffered from an aortic valve stenosis and was accepted for a minimally invasive procedure because of multiple comorbidities. After unproblematic transapical placement of the aortic valve, a venous bleeding from the anterolateral wound was observed. Median sternotomy showed a bleeding out of the pulmonary trunk that could be stopped with purse-string sutures. The further course of the patient was uneventful.
authors.affiliation: Department of Cardiothoracic Surgery, University Hospital of Cologne, Kerpener Strasse 62, Köln D-50924, Germany. justus.strauch@uk-koeln.de
authors.forename: Justus T
authors.initials: JT
authors.lastname: Strauch
authors.forename: Elmar
authors.initials: E
authors.lastname: Kuhn
authors.forename: Peter L
authors.initials: PL
authors.lastname: Haldenwang
authors.forename: Thorsten
authors.initials: T
authors.lastname: Wahlers
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005471:Fluoroscopy; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000293:injuries*