Myocardial perforation by a guidewire crossing a stenotic aortic valve during cardiac catheterization

Swinkels, Ben M.; Cate, Tim J.F. ten; Haenen, N; Rensing, Benno J.; Defauw, Jo J.A.M.; Jaarsma, Wybren

doi:10.1016/j.ijcard.2008.08.027

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“…Most of the time pericardiocentesis is suffi cient and surgical treatment is not necessary. Swinkels et al reported a case in whom conservative treatment was successful [4]. In our case, despite successful pericardiocentesis was immediately done, surgical treatment was needed.…”

Section: Discussionmentioning

confidence: 62%

Left ventricular perforation by a guidewire crossing a stenotic calcific aortic valve

Demircan¹,

Altay²

2013

Cor Vasa

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With the availability of better technology in catheterization techniques, perforation of myocardium during cardiac catheterization is a rare event. We report, a 65-year old male who developed this potentially life threatening complication, after several attempts were made to cross a heavily stenotic aortic valve. With this case presentation, we aim to call attention to this complication which we think will occur more frequently in the era of percutaneous aortic valve replacement.

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Section: Discussionmentioning

confidence: 62%