This report presents four cases of acute post-traumatic aortic insufficiency (AN) resulting from coronary angiography and percutaneous coronary intervention due to acute coronary syndrome. AN correction was performed within 1 to 7 months after its occurrence. Intraoperatively, all patients showed signs of leaflet damage, there were no signs of infective endocarditis, which was confirmed by morphological and microbiological examination of the removed leaflets. Three patients showed anomalies in the development of the aortic valve and one of them – in the coronary artery. All patients underwent aortic valve replacement, three of them in combination with myocardial revascularization. One patient died after surgery from multiple organ failure.
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About the authors
- Vladimir I. Gavrilenkov, Dr. Med. Sc., Professor, Cardiac Surgeon, ORCID
- Dmitriy V. Maslevtsov, Cand. Med. Sc., Head of Department, ORCID
- Mikhail V. Pavlov, Cardiac Surgeon, ORCID
- Stanislav R. Lavrusenko, Cardiac Surgeon, ORCID
- Aleksey G. Khubulava, Intervention Cardiologist, ORCID