Leaflet entrapment causing acute severe aortic insufficiency during balloon aortic valvuloplasty.

Abstract:

:Cusp entrapment is a previously unreported mechanism of aortic insufficiency after balloon aortic valvuloplasty. In a patient who developed severe acute aortic insufficiency and expired after balloon aortic valvuloplasty, pathologic evaluation revealed a large, solitary, fractured, calcific nodule in the noncoronary cusp in which the malaligned, irregular fracture surfaces of the nodule had entrapped the leaflet in an open position. The ease with which the entrapped leaflet was reduced by manipulation on postmortem examination suggests that further manipulation of the cusp might restore valve competence in some cases when aortic insufficiency occurs after balloon valvuloplasty in calcific aortic stenosis.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Treasure CB,Schoen FJ,Treseler PA,Bittl JA

doi

10.1002/clc.4960120711

subject

Has Abstract

pub_date

1989-07-01 00:00:00

pages

405-8

issue

7

eissn

0160-9289

issn

1932-8737

journal_volume

12

pub_type

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