title: Aortic valve perforation during aortic valvuloplasty: Identification and strategies for prevention.
abstract: Balloon aortic valvuloplasty has seen a revival in interest because of its role in predilation and preparation of the annulus before trans catheter aortic valve implantation. Aortic valve cusp perforation is a serious complication that needs early recognition and prompt corrective measures to prevent a poor procedural outcome or conversion to emergent surgery. A number of useful angiographic and technical findings can alert the operator about the possibility of this complication. Failure to recognize cusp perforation can lead to serious procedural complications like severe aortic regurgitation, suboptimal prosthesis deployment, and function that can necessitate emergent open cardiac surgery.
authors.affiliation: Division of Cardiology, Ferrarotto Hospital, University of Catania, Italy; Excellence Through Newest Advances (ETNA) Foundation, Catania, Italy. gpussia@hotmail.com
authors.forename: Gian Paolo
authors.initials: GP
authors.lastname: Ussia
authors.forename: Kunal
authors.initials: K
authors.lastname: Sarkar
authors.forename: Corrado
authors.initials: C
authors.lastname: Tamburino
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000293:injuries; D001022:Aortic Valve Insufficiency / Q000209:etiology; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D001027:Aortography / Q000379:methods; D006328:Cardiac Catheterization; D002404:Catheterization / Q000009:adverse effects*; D005260:Female; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000517:prevention & control; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008297:Male; D015641:Radiography, Interventional; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed