Cardiac Gated Computed Tomography Used to Confirm Iatrogenic Aortic Valve Leaflet Perforation after Mitral Valve Replacement
Aortic insufficiency from iatrogenic valve perforation from nonaortic valve operations is rarely reported despite the prevalence of these procedures. Rapid diagnosis of these defects is essential to prevent deterioration of cardiac function. In this paper, we describe a young man who reported to our...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2013/528439 |
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| author | Luke Oakley Kathleen Love Alfredo Ramirez Gilbert Boswell Keshav Nayak |
| author_facet | Luke Oakley Kathleen Love Alfredo Ramirez Gilbert Boswell Keshav Nayak |
| author_sort | Luke Oakley |
| collection | DOAJ |
| description | Aortic insufficiency from iatrogenic valve perforation from nonaortic valve operations is rarely reported despite the prevalence of these procedures. Rapid diagnosis of these defects is essential to prevent deterioration of cardiac function. In this paper, we describe a young man who reported to our institution after two open cardiac surgeries with new aortic regurgitation found to be due to an iatrogenic perforation of his noncoronary aortic valve cusp. This defect was not appreciated by previous intraoperative transesophageal echocardiography and was inadequately visualized on follow-up transthoracic and transesophageal echocardiograms. In contrast, cardiac gated computed tomography clearly visualized the defect and its surrounding structures. This case highlights the utility of cardiac gated computed tomography for cases of suspected valvular perforation when echocardiography is not readily available or inadequate imaging is obtained. |
| format | Article |
| id | doaj-art-a1b17f9f51bd436bb29b4e6282f13c27 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-a1b17f9f51bd436bb29b4e6282f13c272025-02-03T05:51:27ZengWileyCase Reports in Cardiology2090-64042090-64122013-01-01201310.1155/2013/528439528439Cardiac Gated Computed Tomography Used to Confirm Iatrogenic Aortic Valve Leaflet Perforation after Mitral Valve ReplacementLuke Oakley0Kathleen Love1Alfredo Ramirez2Gilbert Boswell3Keshav Nayak4Department of Internal Medicine, Naval Medical Center San Diego, Suite 301, 34800 Bob Wilson Drive, San Diego, CA 92101, USADepartment of Cardiology, Naval Medical Center San Diego, San Diego, CA 92101, USADepartment of Cardiothoracic Surgery, Naval Medical Center San Diego, San Diego, CA 92101, USADepartment of Radiology, Naval Medical Center San Diego, San Diego, CA 92101, USADepartment of Cardiology, Naval Medical Center San Diego, San Diego, CA 92101, USAAortic insufficiency from iatrogenic valve perforation from nonaortic valve operations is rarely reported despite the prevalence of these procedures. Rapid diagnosis of these defects is essential to prevent deterioration of cardiac function. In this paper, we describe a young man who reported to our institution after two open cardiac surgeries with new aortic regurgitation found to be due to an iatrogenic perforation of his noncoronary aortic valve cusp. This defect was not appreciated by previous intraoperative transesophageal echocardiography and was inadequately visualized on follow-up transthoracic and transesophageal echocardiograms. In contrast, cardiac gated computed tomography clearly visualized the defect and its surrounding structures. This case highlights the utility of cardiac gated computed tomography for cases of suspected valvular perforation when echocardiography is not readily available or inadequate imaging is obtained.http://dx.doi.org/10.1155/2013/528439 |
| spellingShingle | Luke Oakley Kathleen Love Alfredo Ramirez Gilbert Boswell Keshav Nayak Cardiac Gated Computed Tomography Used to Confirm Iatrogenic Aortic Valve Leaflet Perforation after Mitral Valve Replacement Case Reports in Cardiology |
| title | Cardiac Gated Computed Tomography Used to Confirm Iatrogenic Aortic Valve Leaflet Perforation after Mitral Valve Replacement |
| title_full | Cardiac Gated Computed Tomography Used to Confirm Iatrogenic Aortic Valve Leaflet Perforation after Mitral Valve Replacement |
| title_fullStr | Cardiac Gated Computed Tomography Used to Confirm Iatrogenic Aortic Valve Leaflet Perforation after Mitral Valve Replacement |
| title_full_unstemmed | Cardiac Gated Computed Tomography Used to Confirm Iatrogenic Aortic Valve Leaflet Perforation after Mitral Valve Replacement |
| title_short | Cardiac Gated Computed Tomography Used to Confirm Iatrogenic Aortic Valve Leaflet Perforation after Mitral Valve Replacement |
| title_sort | cardiac gated computed tomography used to confirm iatrogenic aortic valve leaflet perforation after mitral valve replacement |
| url | http://dx.doi.org/10.1155/2013/528439 |
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