Prague Med. Rep. 2013, 114, 172-176

Aortic Valve Leaflet Perforation after Mitral Valve Repair

M. Aboelnasr1, Vilém Rohn2,*

1Department of Cardiothoracic Surgery, Tanta University Hospital, Tanta, Egypt
22nd Department of Surgery – Department of Cardiovascular Surgery, First Faculty of Medicine, Charles University in  Prague and General University Hospital in  Prague, Prague, Czech Republic

 A 32-year-old patient with symptomatic severe aortic regurge, 6 weeks after mitral valve repair, was admitted for aortic valve surgery. No preoperative clinical data consistent with infective endocarditis could be detected. Preoperative transthoracic echocardiography showed aortic leaflet perforation affecting non coronary cusp. During operation, leaflet perforation was detected and closed completely with autologous pericardial patch. No vegetations or abscess could be seen during operation. Iatrogenic aetiology of leaflet perforation after mitral repair was suspected in  this case. Recognition of this complication will help in  avoiding it during mitral valve surgery and expecting it as a possible complication during intraoperative transesophageal echocardiography.


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