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Rare case of iatrogenic aortic valve leaflet tear following a diagnostic coronary angiogram |
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| Authors: | Mariah Madigan BA Sarah McIsaac MD Avinash Garg MD Abdul Alqahtani MD Andreas Kumar MD Rony Atoui MD |
| Affiliation: | 1. Northern Ontario School of Medicine, Sudbury, Ontario, Canada;2. Northern Ontario School of Medicine, Sudbury, Ontario, Canada Department of Anesthesia, Health Sciences North, Sudbury, Ontario, Canada;3. Department of Cardiac Surgery, Health Sciences North, Sudbury, Ontario, Canada;4. Department of Cardiology, Health Sciences North, Sudbury, Ontario, Canada;5. Northern Ontario School of Medicine, Sudbury, Ontario, Canada Department of Cardiology, Health Sciences North, Sudbury, Ontario, Canada |
| Abstract: | 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. |
| Keywords: | valve repair/replacement |