Papillary muscle rupture: first report of this complication in a retrograde transfemoral aortic valve implantation

We report a not previously described complication in a retrograde transcatheter aortic valve implantation procedure: A fatal rupture of a papillary muscle producing massive regurgitation. We found papillary muscle head calcification as an anatomical substrate that could facilitate this complication.

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Bibliographic Details
Published in:	Catheterization and cardiovascular interventions Vol. 78; no. 4; pp. 647 - 649
Main Authors:	de la Torre Hernandez, Jose M, Gorria, Gonzalo Martin, de Prada, Jose A Vazquez, Zueco, Javier
Format:	Journal Article
Language:	English
Published:	United States 01-10-2011
Subjects:	Aged, 80 and over Aortic Valve Stenosis - complications Aortic Valve Stenosis - therapy Calcinosis - complications Cardiac Catheterization - adverse effects Cardiomyopathies - complications Echocardiography, Transesophageal Fatal Outcome Heart Injuries - diagnostic imaging Heart Injuries - etiology Heart Valve Prosthesis Implantation - adverse effects Heart Valve Prosthesis Implantation - methods Humans Male Mitral Valve Insufficiency - diagnostic imaging Mitral Valve Insufficiency - etiology Papillary Muscles - injuries
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Description
Summary:	We report a not previously described complication in a retrograde transcatheter aortic valve implantation procedure: A fatal rupture of a papillary muscle producing massive regurgitation. We found papillary muscle head calcification as an anatomical substrate that could facilitate this complication.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1522-1946 1522-726X
DOI:	10.1002/ccd.23035