CT17P IMAGES OF AN INFARCT RELATED INCOMPLETE LEFT VENTRICULAR RUPTURE MANAGED WITH PERICARDIAL PATCH REPAIR

2007 ◽  
Vol 77 (s1) ◽  
pp. A11-A11
Author(s):  
S. D. Galvin ◽  
R. W. Bunton ◽  
V. Chen
1993 ◽  
Vol 55 (4) ◽  
pp. 1022-1024 ◽  
Author(s):  
John P. Iguidbashian ◽  
David M. Follette ◽  
Joseph P. Contino ◽  
Marc E. Pollock ◽  
Calvin Lutrin ◽  
...  

2003 ◽  
Vol 18 (2) ◽  
pp. 164-166 ◽  
Author(s):  
Takeshi Nishina ◽  
Takaaki Koshiji ◽  
Kazunobu Nishimura ◽  
Masashi Komeda

2012 ◽  
Vol 71 (1) ◽  
pp. 60-63
Author(s):  
Mitsuru Iida ◽  
Yukihiko Orime ◽  
Tomofumi Umeda ◽  
Kimio Kikushima ◽  
Kazuhiro Watanabe ◽  
...  

2002 ◽  
Vol 10 (4) ◽  
pp. 344-345 ◽  
Author(s):  
Masaru Yoshikai ◽  
Tsuyoshi Ito ◽  
Junichi Murayama ◽  
Keiji Kamohara

Mitral annular reconstruction using a pericardial patch was performed in 3 cases of atrioventricular disruption. This technique may be useful for atrioventricular disruption in cases of active endocarditis, redo valve replacement, left ventricular rupture after mitral valve replacement, and annular calcification.


2014 ◽  
Vol 41 (2) ◽  
pp. 195-197 ◽  
Author(s):  
Myles E. Lee ◽  
Mallika Tamboli ◽  
Anthony W. Lee

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 terminated, brisk bleeding started from high in the posterior left ventricular wall, typical of a type III defect. We undertook external repair, placing a plug of Teflon felt into the cavity of the rupture and sandwiching it into place with pledgeted mattress and figure-of-8 sutures. The space occupied by the plug decreased the distance needed to obliterate the defect and thereby reduced the tension on the sutures necessary to achieve hemostasis. This simple technique enabled closure of the defect and avoided collateral tears that would have compromised an otherwise successful repair. Two years postoperatively, the patient had normal mitral valve function and no left ventricular aneurysm. In addition to reporting the patient's case, we review the types of left ventricular rupture that can occur during mitral valve replacement and discuss the various repair options.


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