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Rare case of iatrogenic aortic valve leaflet tear following a diagnostic coronary angiogram
Author(s) -
Madigan Mariah,
McIsaac Sarah,
Garg Avinash,
Alqahtani Abdul,
Kumar Andreas,
Atoui Rony
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14272
Subject(s) - medicine , transesophageal echocardiogram , transthoracic echocardiogram , cardiology , regurgitation (circulation) , ventricular outflow tract , aortic valve , myocardial infarction , cusp (singularity) , echogenicity , coronary angiogram , ventricular outflow tract obstruction , radiology , mitral valve , coronary angiography , ultrasound , geometry , mathematics
We report a rare case of a 44‐year‐old male who underwent a diagnostic coronary angiogram following a non‐ST elevation myocardial infarction complicated by an aortic valve leaflet tear requiring surgical intervention. Routine transthoracic echocardiogram demonstrated a mobile echogenic structure prolapsing into the left ventricular outflow tract. An intraoperative transesophageal echocardiogram confirmed that the structure originated from the ventricular side of left coronary cusp, causing malcoaptation between left and right coronary cusps, and subsequent moderate to severe aortic regurgitation.