1. Right coronary cusp perforation after mitral valve replacement
- Author
-
Mohammed I. Al Yamani, Jean-Marc Frapier, Pascal Battistella, and Bernard Albat
- Subjects
Male ,Reoperation ,Pulmonary and Respiratory Medicine ,Aortic valve ,Heart Injury ,medicine.medical_specialty ,Multiple Organ Failure ,medicine.medical_treatment ,Aortic Valve Insufficiency ,Perforation (oil well) ,Case Reports ,Regurgitation (circulation) ,Severity of Illness Index ,Fatal Outcome ,stomatognathic system ,Internal medicine ,medicine ,Humans ,cardiovascular diseases ,Right coronary cusp ,Heart Valve Prosthesis Implantation ,business.industry ,Mitral valve replacement ,Mitral Valve Insufficiency ,Middle Aged ,Surgery ,Treatment Outcome ,medicine.anatomical_structure ,Heart Injuries ,Aortic Valve ,cardiovascular system ,Cardiology ,Cusp (anatomy) ,Cardiology and Cardiovascular Medicine ,Complication ,business ,Echocardiography, Transesophageal - Abstract
Secondary to leaflet injury, which is a well-known technical mistake, aortic regurgitation can occur during mitral valve replacement or repair. In most cases, the left or the non-coronary cusps are affected. For the first time, we report the case of a patient who had severe aortic regurgitation due to right coronary cusp perforation after mitral valve replacement. This complication was not identified until reoperation. Had transoesophageal echocardiography (TOE) been used during the first procedure, a delayed reoperation could have been avoided. During mitral surgery, every aortic cusp is at risk and peroperative TOE should be a mandatory procedure.
- Published
- 2012
- Full Text
- View/download PDF