{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:49:08Z","timestamp":1753876148980,"version":"3.41.2"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T00:00:00Z","timestamp":1715212800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001030","name":"Heart Foundation of Australia","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001030","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,1]]},"abstract":"<jats:title>\u00a0<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Iatrogenic aortic valve injury during cardiovascular catheterization interventions is extremely rare. Severe aortic regurgitation that ensues can be catastrophic and the management is typically with surgical valve replacement or repair. Percutaneous management of native pure aortic regurgitation is difficult due to anatomical challenges and the limitations of current transcatheter heart valve technology to anchor in the absence of leaflet or annular calcification.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case Summary<\/jats:title>\n                  <jats:p>An 82-year-old female underwent rotational atherectomy (RA) for a severely calcified stenosis of the left anterior descending artery. The patient was discharged well following placement of two drug eluting stents. She represented to hospital 7 days later with acute pulmonary oedema. Bedside transthoracic echocardiography demonstrated new, severe AR with preserved left ventricular size and function. Review of the prior percutaneous coronary intervention revealed significant trauma to the aortic valve during RA, with contrast seen refluxing into the LV during diastole, evolving throughout the procedure. Given the patient was not an operative candidate, an oversized transcatheter aortic valve was successfully implanted. In the post-operative setting, the patient suffered a stroke. Extensive hypoattenuated leaflet thickening (HALT) and thrombus was seen on dedicated 4D CT imaging. She made full neurological recovery and valve function returned to normal following a period of anticoagulation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Although iatrogenic aortic valve laceration is rare, this case highlights several important learning points including the importance of good guide catheter support during RA; the feasibility of Transcatheter Aortic Valve Replacement for pure native AR; and the detection and management of HALT.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae226","type":"journal-article","created":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T07:00:53Z","timestamp":1715238053000},"source":"Crossref","is-referenced-by-count":0,"title":["Aortic valve laceration following rotational atherectomy: a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3652-9454","authenticated-orcid":false,"given":"Farrah","family":"Othman","sequence":"first","affiliation":[{"name":"Department of Cardiology, Fiona Stanley Hospital , 11 Robin Warren Drive, Murdoch, Perth, WA 6150 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald","family":"Yong","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Fiona Stanley Hospital , 11 Robin Warren Drive, Murdoch, Perth, WA 6150 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan","family":"Whelan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Fiona Stanley Hospital , 11 Robin Warren Drive, Murdoch, Perth, WA 6150 , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul Rahman","family":"Ihdayhid","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Fiona Stanley Hospital , 11 Robin Warren Drive, Murdoch, Perth, WA 6150 , Australia"},{"name":"Cardiovascular Research and Innovation Laboratory, Harry Perkins Institute of Medical Research , Perth , Australia"},{"name":"Curtin Medical School, Curtin University , Perth , Australia"},{"name":"UWA Medical School, University of Western Australia , Perth , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,5,9]]},"reference":[{"key":"2024062814421641400_ytae226-B1","doi-asserted-by":"crossref","first-page":"e8","DOI":"10.1161\/CIRCINTERVENTIONS.110.960369","article-title":"Severe aortic regurgitation after transradial percutaneous coronary intervention","volume":"4","author":"Ong","year":"2011","journal-title":"Circ Cardiovasc Interv"},{"key":"2024062814421641400_ytae226-B2","article-title":"Severe chronic aortic regurgitation after percutaneous coronary intervention: a case report and literature review","volume":"5","author":"Wedin","year":"2021","journal-title":"Eur Heart J"},{"key":"2024062814421641400_ytae226-B3","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.jcin.2012.07.017","article-title":"High-speed rotational atherectomy before paclitaxel-eluting stent implantation in complex calcified coronary lesions","volume":"6","author":"Abdel-Wahab","year":"2013","journal-title":"J Am Coll Cardiol Intv"},{"key":"2024062814421641400_ytae226-B4","doi-asserted-by":"crossref","first-page":"e004278","DOI":"10.1161\/CIRCINTERVENTIONS.116.004278","article-title":"Incidence and determinants of complications in rotational atherectomy insights from the national clinical data (J-PCI Registry)","volume":"9","author":"Sakakura","year":"2016","journal-title":"Circ Cardiovasc Interv"},{"key":"2024062814421641400_ytae226-B5","first-page":"2451","article-title":"Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology, European Association for Cardiothoracic Surgery, guidelines on the management of valvular heart disease (version 2012)","volume":"33","author":"Vahanian","year":"2012","journal-title":"Eur Heart J"},{"key":"2024062814421641400_ytae226-B6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jcmg.2018.12.003","article-title":"Computed tomography imaging in the context of transcatheter aortic valve implantation (TAVI)\/transcatheter aortic valve replacement (TAVR): an expert consensus document of the Society Of Cardiovascular Computed Tomography","volume":"12","author":"Blanke","year":"2019","journal-title":"JACC Cardiovascular imaging"},{"key":"2024062814421641400_ytae226-B7","doi-asserted-by":"crossref","first-page":"1577","DOI":"10.1016\/j.jacc.2013.01.018","article-title":"Transcatheter aortic valve implantation for pure severe native aortic valve regurgitation","volume":"61","author":"Roy","year":"2013","journal-title":"J Am Coll Cardiol"},{"key":"2024062814421641400_ytae226-B8","doi-asserted-by":"crossref","first-page":"2059","DOI":"10.1016\/j.jacc.2016.08.010","article-title":"Transcatheter aortic valve thrombosis: incidence, predisposing factors, and clinical implications","volume":"68","author":"Hansson","year":"2016","journal-title":"J Am Coll Cardiol"},{"key":"2024062814421641400_ytae226-B9","doi-asserted-by":"crossref","first-page":"718","DOI":"10.4244\/EIJ-D-18-00348R","article-title":"Activation of the coagulation cascade and the role of paravalvular leak in the development of leaflet thrombosis following transcatheter aortic valve replacement","volume":"14","author":"Rashid","year":"2018","journal-title":"EuroIntervention"},{"key":"2024062814421641400_ytae226-B10","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1056\/NEJMoa1911425","article-title":"A controlled trial of rivaroxaban after transcatheter aortic-valve replacement","volume":"382","author":"Dangas","year":"2020","journal-title":"N Engl J Med"},{"key":"2024062814421641400_ytae226-B11","doi-asserted-by":"crossref","first-page":"2783","DOI":"10.1093\/eurheartj\/ehac242","article-title":"Apixaban vs. standard of care after transcatheter aortic valve implantation: the ATLANTIS trial","volume":"43","author":"Collet","year":"2022","journal-title":"Eur Heart J"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytae226\/57463436\/ytae226.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/6\/ytae226\/58270275\/ytae226.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/8\/6\/ytae226\/58270275\/ytae226.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T17:11:35Z","timestamp":1719594695000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytae226\/7667465"}},"subtitle":[],"editor":[{"given":"Ying Xuan","family":"Gue","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Gautam","family":"Sen","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Jan","family":"Henzel","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Nikesh","family":"Jathanna","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2024,5,9]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytae226","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2024,6]]},"published":{"date-parts":[[2024,5,9]]},"article-number":"ytae226"}}