Acute aortic regurgitation due to aortic valve leaflet injury during percutaneous coronary intervention: a case report
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By
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Paweł Jańczak
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Piotr Pawluczuk
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Jakub Żmuda
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Małgorzata Wojciechowska
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June 12, 2026
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Clinical Scorecard: Acute Aortic Regurgitation Following Aortic Valve Leaflet Damage During Percutaneous Coronary Intervention: A Case Study
At a Glance
| Category | Detail |
|---|
| Condition | |
| Key Mechanisms | Iatrogenic injury to the aortic valve leaflet during PCI with rotational atherectomy. |
| Target Population | |
| Care Setting | |
Key Highlights
- Acute aortic regurgitation is a rare complication of PCI, with a prevalence of approximately 1:10,000.
- Iatrogenic aortic valve injury can lead to severe hemodynamic instability.
- Early echocardiographic assessment is crucial for management.
Guideline-Based Recommendations
Diagnosis
- Consider aortic valve injury in patients with sudden hemodynamic instability post-PCI.
- Use echocardiography for prompt assessment of valve function.
Management
- Evaluate treatment options including surgical or transcatheter aortic valve replacement.
Monitoring & Follow-up
- Monitor for signs of acute heart failure and hemodynamic instability post-PCI.
Risks
- Increased risk of cardiac arrest and multiple organ failure in cases of severe aortic regurgitation.
Patient & Prescribing Data
Elderly patients with complex coronary anatomy and comorbidities.
Clinical Best Practices
- Perform careful patient selection for rotational atherectomy in STEMI cases.
- Ensure readiness for immediate intervention in case of complications during PCI.
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