This case highlights the rare but severe complication of severe aortic regurgitation following percutaneous aortic balloon valvuloplasty in a patient with a tricuspid aortic valve.
Severe AR may follow balloon aortic valvuloplasty without structural damage; this case leaves open underlying mechanisms.
An 88-year-old patient undergoing percutaneous aortic balloon valvuloplasty of a tricuspid aortic valve is described. The patient had mild aortic regurgitation prior to the procedure but developed severe aortic regurgitation after balloon dilatation of the valve. At the time of surgery there was no anatomic disruption of the valve or supporting structures. Development of severe aortic incompetence following balloon valvuloplasty has not been previously reported.
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Dean et al. (1989) studied this question.
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