Rupture of the left ventricular free wall following mitral valve replacement for mitral stenosis: a cause of complete (fatal) or contained (false aneurysm) cardiac rupture.
Complete or incomplete left ventricular free wall rupture is a known complication of mitral valve replacement. Complete free wall rupture may result in fatal bleeding, whereas incomplete rupture may result in the formation of a pseudoaneurysm with survival possible. Two necropsy patients are described illustrating both of these complications. Proposed mechanisms for injury to the left ventricular free wall are reviewed.
Waller
B F
BF
Nasser, Smith, and Pinkerton Cardiology Inc., Indianapolis, Indiana.
Taliercio
C P
CP
Clark
M
M
Pless
J E
JE
D000368:Aged; D001705:Bioprosthesis; D005260:Female; D006322:Heart Aneurysm / Q000209:etiology*; D006341:Heart Rupture / Q000209:etiology*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery; D008946:Mitral Valve Stenosis / Q000601:surgery