Iatrogenic Aortic Valve Perforation after Ventricular Septal Defect Repair

Abstract

Iatrogenic aortic valve (AV) perforation during non-aortic cardiac operations is a rare complication. The suture-related inadvertent injury to an AV leaflet can produce leaflet perforation with aortic regurgitation after ventricular septal defect repair (VSDR). We report three consecutive patients who had iatrogenic aortic leaflet perforation during VSDR in other hospitals and referred to our hospital for reoperation. In all three cases, the perforated AV leaflets were preserved and repaired by autologous pericardial patch or direct local closure.

Urgent transcatheter aortic valve replacement for severe acute aortic regurgitation following open mitral valve surgery

“…It may occur as the result of aortic valve leaflet perforation, leaflet tension, or inadvertent suture placement through an aortic valve leaflet . Iatrogenic AR may also occur after cardiac operations performed in the vicinity of the aortic valve such as repair of a membranous ventricular septal defect, and repair of an ostium primum atrial septal defect . Treatment usually involves either surgical aortic valve repair or replacement .…”

“…Iatrogenic AR may also occur after cardiac operations performed in the vicinity of the aortic valve such as repair of a membranous ventricular septal defect, and repair of an ostium primum atrial septal defect . Treatment usually involves either surgical aortic valve repair or replacement . Our report is the first in the published literature to document the use of a transcatheter aortic valve to treat AR following mitral valve surgery.…”