title: [Rupture of the posterior wall of the left ventricle after mitral valve prosthesis].
abstract: Rupture of the posterior wall of the left ventricle after mitral valve prosthetics is a rare (0.6%) but a dangerous and death-threatening complication. Injury to the fibrous ring in the anatomically hazardous zone (at 4-5 o'clock of an imaginary clock-face) is the most frequent cause of the ruptures. Surgical correction of this complication will be successful only with the use of extracorporeal circulation and repeated cardioplegia. Preservation of the posterior cusp and subvalvular apparatus is a reliable measure preventing rupture of the posterior wall of the left ventricle.
authors.forename: Iu V
authors.initials: IuV
authors.lastname: Tarichko
authors.forename: N M
authors.initials: NM
authors.lastname: Sankar
authors.forename: I Iu
authors.initials: IIu
authors.lastname: Cherkasov
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006341:Heart Rupture / Q000209:etiology* / Q000517:prevention & control / Q000601:surgery; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000601:surgery*; D012422:Rupture, Spontaneous; D013536:Suture Techniques
vernacular_title: Razryvy zadneĭ stenki levogo zheludochka posle protezirovaniia mitral'nogo klapana.