Iatrogenic aortic valve fenestration rupture following coronary angiography: a case report.

ABSTRACT:

Background

Aortic valve fenestration (AVF) is a relatively common anatomical variation, while its rupture is a rare cause of aortic regurgitation (AR), especially following coronary angiography. This case report highlights the importance of echocardiographic evaluation and multidisciplinary discussion for the differential diagnosis of fibroelastoma or endocarditis.

Case summary

A 66-year-old man presented with acute shortness of breath following coronary angiography for an inferior ST-elevation myocardial infarction. Echocardiography revealed severe aortic regurgitation associated with a filamentous mobile structure on the non-coronary cusp. A multidisciplinary discussion was conducted to determine the cause of the AR, leading to the patient undergoing aortic valve replaceme

SUBMITTER: Montandrau O 

PROVIDER: S-EPMC10602372 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature