Transcatheter repair of aortic leaflet perforation in a patient with prior surgical bicuspid aortic valve repair.
A 47-year-old male underwent surgery for functional bicuspid aortic valve severe regurgitation with a fused right and left coronary cusp. The patient presents nine years after surgical bicuspid aortic valve repair with symptomatic severe aortic regurgitation, diagnosed by TEE and MRI, caused primarily from a perforation located at the base of the surgically fused coronary cusps. The patient had a minimally dilated aortic root that did not yet necessitate surgical intervention. We present a novel percutaneous bicuspid aortic valve perforation repair that potentially decreases the number of surgical operations the patient must undergo during his lifetime.
Division of Cardiovascular Medicine, Department of Medicine, University of California, Davis, California.
Wayland
W
Lim
Division of Cardiovascular Medicine, Department of Medicine, University of California, Davis, California.
Thomas
T
Smith
Division of Cardiovascular Medicine, Department of Medicine, University of California, Davis, California.
Jason H
JH
Rogers
D017130:Angioplasty / Q000295:instrumentation* / Q000379:methods; D001021:Aortic Valve / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000628:therapy*; D000082882:Bicuspid Aortic Valve Disease; D006328:Cardiac Catheterization / Q000379:methods*; D058385:Cardiac Valve Annuloplasty / Q000009:adverse effects* / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods; D005500:Follow-Up Studies; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy; D018570:Risk Assessment; D055989:Septal Occluder Device; D016896:Treatment Outcome
Amplatzer septal occluder; aortic regurgitation; percutaneous repair