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Case reports

Pulmonary trunk perforation during transapical minimal invasive aortic valve replacement

Department of Cardiothoracic Surgery, University Hospital of Cologne, Kerpener Strasse 62, D-50924 Köln, Germany

Received 27 November 2008; received in revised form 20 January 2009; accepted 29 January 2009.

^_* Corresponding author. Tel.: +49 221 478 32635; fax: +49 221 478 32509. (Email: justus.strauch{at}uk-koeln.de).

In this case report we illustrate our experience with a perforation of the pulmonary trunk during a transapical aortic valve implantation in a single case. The patient suffered from an aortic valve stenosis and was accepted for a minimally invasive procedure because of multiple comorbidities. After unproblematic transapical placement of the aortic valve, a venous bleeding from the anterolateral wound was observed. Median sternotomy showed a bleeding out of the pulmonary trunk that could be stopped with purse-string sutures. The further course of the patient was uneventful.

Key Words: Aortic stenosis • Aortic valve replacement • Transapical • Aortic valve implantation