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

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  • 1

    Acute aortic regurgitation can occur as a rare complication of percutaneous coronary intervention (PCI), particularly following aortic valve leaflet damage.

  • 2

    An 85-year-old patient experienced severe acute aortic regurgitation after undergoing primary PCI with rotational atherectomy for ST-segment elevation myocardial infarction.

  • 3

    Echocardiography confirmed iatrogenic injury to the aortic valve leaflet, leading to rapid hemodynamic deterioration and acute heart failure.

  • 4

    The patient was deemed unsuitable for surgical intervention due to poor neurological prognosis and ultimately died from multiple organ failure.

  • 5

    Iatrogenic aortic valve injury during PCI has a prevalence of approximately 1:10,000 and is often life-threatening, necessitating prompt recognition and management.

Original Source(s)

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

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