Key result
Cardiac catheterization of a calcified bioprosthetic valve caused fatal coronary artery embolization due to dislodged calcium debris.
Highlights the risk of fatal calcium embolization during cardiac catheterization in patients with calcified bioprosthetic valves.
May warrant procedural caution in calcified bioprosthetic valves; case report leaves open true incidence and mitigation strategies.
The case described is a death due to embolization of calcium debris from a bioprosthesis, dislodged at cardiac catheterization. As more bioprosthetic valves are implanted, and more of them fail long-term with calcification, such complications of the invasive study of these valves may be expected.
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Walley et al. (1990) studied this question. Cardiac catheterization of a calcified bioprosthetic valve caused fatal coronary artery embolization due to dislodged calcium debris.
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