A hole in the heart

We present the case of a 91-year-old male whose percutaneous aortic valve replacement was complicated by perforation of the left ventricular (LV) apex caused by an extra-stiff guidewire. Although two-dimensional echocardiography was able to demonstrate a small hole at the LV apex and the presence of...

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Bibliographic Details
Main Authors: Haghi, Dariusch (Author) , Süselbeck, Tim (Author) , Papavassiliu, Theano (Author)
Format: Article (Journal)
Language:English
Published: [July 2010]
In: European journal of echocardiography
Year: 2010, Volume: 11, Issue: 6
ISSN:1532-2114
DOI:10.1093/ejechocard/jeq029
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1093/ejechocard/jeq029
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Author Notes:Dariusch Haghi, Tim Suselbeck, and Theano Papavassiliu
Description
Summary:We present the case of a 91-year-old male whose percutaneous aortic valve replacement was complicated by perforation of the left ventricular (LV) apex caused by an extra-stiff guidewire. Although two-dimensional echocardiography was able to demonstrate a small hole at the LV apex and the presence of an LV pseudo-aneurysm, the exact size and shape of the hole could not be readily appreciated. Thus, three-dimensional (3D) echocardiography was performed and an oval-shaped hole of roughly 0.8 cm 2 could be clearly visualized. This case illustrates the unique value of 3D echocardiography in visualizing geometry and flow across LV rupture sites.
Item Description:Published: 10 March 200
Gesehen am 03.03.2023
Physical Description:Online Resource
ISSN:1532-2114
DOI:10.1093/ejechocard/jeq029