[A case of left ventricular rupture and left ventricular-right atrial communication after mitral valve re-replacement].
We report a case of left ventricular rupture and left ventricular-right atrial communication after mitral valve re-replacement. A 53-year-old man was admitted to our hospital for a primary tissue failure of mitral xenograft. On June 4, 1997, he underwent mitral valve re-replacement. At 12 post operative day, he was suffered from unexpected dyspnea. The transesophageal echocardiography showed floated mitral valve and left ventricular-right atrial communication. The emergent operation was done. At the operation, posterior mitral annulus was disrupted and the disruption reached to a membranous septum. A communication was directly closed, mitral annulus was repaired with perigard and one size smaller mitral valve was implanted. The patient was discharged and returned to social life.
Fukui
T
T
Department of Cardiovascular Surgery, Osaka City General Hospital, Japan.
Shimizu
Y
Y
Takanashi
S
S
Nishizawa
K
K
Minamimura
H
H
Hattori
K
K
Fumimoto
K
K
Noguchi
M
M
D005402:Fistula / Q000209:etiology*; D006325:Heart Atria; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery; D011183:Postoperative Complications; D018658:Ventricular Septal Rupture / Q000209:etiology*