Acute aortic regurgitation due to aortic valve leaflet injury during percutaneous coronary intervention: a case report - Report - MDSpire

Acute aortic regurgitation due to aortic valve leaflet injury during percutaneous coronary intervention: a case report

  • By

  • Paweł Jańczak

  • Piotr Pawluczuk

  • Jakub Żmuda

  • Małgorzata Wojciechowska

  • June 12, 2026

  • 0 min

Share

Clinical Report: Acute Aortic Regurgitation Following Aortic Valve Leaflet Damage

Overview

This report details a case of acute aortic regurgitation following aortic valve leaflet injury during percutaneous coronary intervention (PCI). The patient experienced severe hemodynamic deterioration post-procedure.

Background

Acute aortic regurgitation is a rare but serious complication that can arise during PCI, particularly in complex cases involving rotational atherectomy.

Data Highlights

No numerical data available in the source material.

Key Findings

  • Acute aortic regurgitation can occur as a rare complication of PCI, particularly with rotational atherectomy.
  • The patient presented with ST-segment elevation myocardial infarction and underwent urgent PCI.
  • Iatrogenic injury to the aortic valve leaflet was confirmed via echocardiography.
  • The patient experienced severe hemodynamic deterioration and required intensive care support.
  • Despite discussions of surgical options, the patient was deemed unsuitable for intervention due to poor neurological prognosis.

Clinical Implications

Healthcare professionals should be aware of the potential for aortic valve injury during complex PCI procedures.

Conclusion

This case underscores the importance of recognizing rare but serious complications associated with PCI. Prompt diagnosis and management are essential for improving patient outcomes in such scenarios.

Related Resources & Content

  1. Frontiers in Cardiovascular Medicine, 2026 -- Acute Aortic Regurgitation Due to Aortic Valve Leaflet Injury During Percutaneous Coronary Intervention: A Case Report
  2. Frontiers in Medicine — Case Report: Selective metal cell excision during open TAVR implantation preserves coronary access while maintaining valve integrity and function
  3. Frontiers in Cardiovascular Medicine — Case Report: HIT-related valve thrombosis in an LVAD patient
  4. Clinical Research in Cardiology — Unforeseen Injury During a Deliberate Procedure—Laceration of the Sinus of Valsalva in BASILICA Technique
  5. Clinical Research in Cardiology — Transcatheter Replacement of the Tricuspid Valve-in-Valve in Two Cases of Ebstein Anomaly: Technical Insights
  6. 2025 ESC/EACTS valvular heart disease guideline
  7. Frontiers | Acute Aortic Regurgitation Due to Aortic Valve Leaflet Injury During Percutaneous Coronary Intervention: A Case Report
  8. TAVR With JenaValve for Symptomatic Aortic Regurgitation in High Surgical Risk Patients - American College of Cardiology

Original Source(s)

Related Content