Korean Circ J.  2018 Dec;48(12):1160-1162. 10.4070/kcj.2018.0136.

Pivotal Role of Intraoperative Transesophageal Echocardiography for Detecting Iatrogenic Aortic Regurgitation due to Cardiac Catheterization

• Kolla KR
• Larsen CM
• Click RL
• Chaliki HP
• Maltais S

• KMID: 2424567
• DOI: http://doi.org/10.4070/kcj.2018.0136

Abstract

No abstract available.

MeSH Terms

Aortic Valve Insufficiency*
Cardiac Catheterization*
Cardiac Catheters*
Echocardiography, Transesophageal*

Figure

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  Figure 1 Transthoracic echocardiogram, showing a normal aortic valve without aortic regurgitation. Ao = aorta; LV = left ventricle.

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  Figure 2 Intraoperative transesophageal echocardiogram before surgery, showing aortic regurgitation. Ao = aorta; LA = left atrium; LV = left ventricle.

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  Figure 3 Cineangiogram during contrast injection of the left ventriculogram. (A) Left ventricular catheter (arrow) just below the right coronary cusp. (B) Left ventricular catheter (arrow) just above the right coronary cusp.

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  Figure 4 Intraoperative image. (A) Tear in the right coronary cusp (arrows). (B) Aortic valve repair (arrows).

Reference

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2. Denyer MH, Elliott CM, Robicsek F. Pericardial patch repair of aortic cusp perforation caused by cardiac catheterization. J Card Surg. 1988; 3:155–157.

3. Fundarò P, Di Mattia DG, Cialfi A, Santoli C. Repair of aortic cusp traumatic laceration caused by cardiac catheterization. J Heart Valve Dis. 1996; 5:281–282.

4. Rolf T, Tozzi P, Roumy A, Iglesias JF, von Segesser LK. Aortic valve lesion after coronary angiography. Interact Cardiovasc Thorac Surg. 2011; 12:205–206.