Epicardial Tachosil Patch Repair of Ventricular Rupture in a 90-Year-Old After Mitral Valve Replacement

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Rupture of a ventricular abscess after mitral valve replacement.

A 65 year old man presented with bacterial endocarditis of the mitral valve. Immediately after mitral valve replacement a valve ring abscess ruptured. Early surgery should be performed when an intramyocardial abscess is suspected.

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One difficulty with external repair of left ventricular rupture after mitral valve replacement is collateral bleeding in friable myocardium adjacent to the rupture. The bleeding is caused by tension on the closing sutures, whether or not pledgets have been used. We report the case of a 69-year-old woman who underwent an uneventful mitral valve replacement. After cardiopulmonary bypass was termi...

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[Left ventricular rupture following mitral valve replacement].

Rupture of the posterior wall of the left ventricle is an unusual but often lethal complication following mitral valve replacement. The incidence is about 1% of MVRs. Most of the ruptures are attributed either to technical maneuvers in the operation or to stretch injury produced by removal of the mural leaflet of the mitral valve. Surgical repair of the rupture requires the cardiopulmonary bypa...

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Left Ventricular Rupture Following Mitral Valve Replacement*

During a 10-year period, we have encountered 6 patients (mean age, 61.2 years) with left ventricular rupture following mitral valve replacement, with an overall incidence of 1.8 percent. Four patients had early rupture, one had delayed rupture, and one had late rupture with a false aneurysm formation. Among four patients with early niptare, there were two patients with external repair by using ...

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Left Ventricular Rupture Post Mitral Valve Replacement

Prevention is better than cure best applies here. As per many authors, posterior leaflet chordae preservation prevent Left ventricular rupture (LVR) and preserve LV geometry. We are presenting here 5 types of left ventricular rupture (LVR) post Mitral valve replacement (MVR) with different methods to repair with the advantages and disadvantages of each. The mortality rate is still very high des...

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ژورنال

عنوان ژورنال: The Annals of Thoracic Surgery

سال: 2016

ISSN: 0003-4975

DOI: 10.1016/j.athoracsur.2015.07.066