Surgery on a Patient with Iatrogenic Aortic Valve Leaflet Perforation after Repair of a Congenital Ventricular Septal Defect

Authors

  • Tao Zhang
  • Shengli Jiang
  • Yao Wang
  • Mingyan Cheng
  • Tingting Cheng
  • Changqing Gao

DOI:

https://doi.org/10.1532/HSF98.20121104

Abstract

Aortic valve regurgitation caused by a leaflet perforation occurs most often with infective endocarditis involving the aortic valve. Although rare, leaflet perforation can be caused by suture-related injury during cardiac operations, such as mitral valve replacement, ventricular septal defect (VSD) repair, and repair of an ostium primum atrial septal defect. Few reports have described this form of iatrogenic aortic valve leaflet perforation. We used a pericardial patch in a successful repair of an iatrogenic perforation in an aortic valve leaflet that occurred after simple VSD repair.

References

Ballal RS, Mahan EF III, Nanda NC. 1991. Aortic and mitral valve perforation: diagnosis by transesophageal echocardiography, and Doppler color flow imaging. Am Heart J 121:214-7.nFreeman WK, Schaff HV, Orszulak TA, Tajik AJ. 1990. Ultrasonic aortic valve decalcification: serial Doppler echocardiographic follow-up. J Am Coll Cardiol 16:623-30.nHill AC, Bansal RC, Razzouk AJ, Liu M, Bailey LL, Gundry SR. 1997. Echocardiographic recognition of iatrogenic aortic valve leaflet perforation. Ann Thorac Surg 64:684-9.nMohr R, Schaff HV, Puga FJ, Danielson GK. 1989. Results of operation for hypertrophic obstructive cardiomyopathy in children and adults less than 40 years of age. Circulation 80(suppl 1):191-6.nMorganroth J, Perloff JK, Zeldis SM, Dunkman WB. 1977. Acute severe aortic regurgitation. Pathophysiology, clinical recognition and management. Ann Intern Med 87:223-32.nRey C, Vaksmann G, Breviere GM, Dupuis FC. 1991. Aortic valve insufficiency: unrecognized complication of the surgical repair of ostium primum atrial septal defect. Arch Mal Coeur Vaiss 84:627-31.nWoo JJ, Koh YY, Chang KS, Hong SP. 2010. A case of iatrogenic aortic valve leaflet perforation after closure of a ventricular septal defect. Int J Cardiovasc Imaging 26:169-72.n

Published

2015-04-03

How to Cite

Zhang, T., Jiang, S., Wang, Y., Cheng, M., Cheng, T., & Gao, C. (2015). Surgery on a Patient with Iatrogenic Aortic Valve Leaflet Perforation after Repair of a Congenital Ventricular Septal Defect. The Heart Surgery Forum, 16(2), E103-E106. https://doi.org/10.1532/HSF98.20121104

Issue

Section

Article