Repair of left ventricular rupture following mitral valve replacement concomitant with left atrial reduction procedure--intracardiac patch and extracardiac buttress suture.
Rupture of the posterior wall of the left ventricle after mitral valve replacement is a dire complication associated with a very high mortality. This study reports a successful repair of type I left ventricular rupture, which occurred after mitral valve replacement concomitant with a left atrial reduction procedure, by combination of an intracardiac patch and an extracardiac buttress suture. In a case such as this, in which hemostasis is quite difficult to establish, this combination technique is particularly effective.
Tayama
E
E
Department of Surgery, Kurume University School of Medicine, Kurume-city, Japan. eiki@med.kurume-u.ac.jp
Akashi
H
H
Hayashida
N
N
Fukunaga
S
S
Takaseya
T
T
Hiratsuka
R
R
Aoyagi
S
S
D005260:Female; D006325:Heart Atria / Q000601:surgery; D006341:Heart Rupture / Q000209:etiology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006352:Heart Ventricles / Q000293:injuries / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000150:complications / Q000601:surgery; D013537:Sutures