title: Dissection of atrial septum after mitral valve replacement.
abstract: We report a patient who presented with paraprosthetic leak complicated by dissection of the interatrial septum after mitral valve replacement. A review of the literature provides confirmation that only 3 cases have been previously reported of this potential, albeit extremely rare, complication of prosthetic mitral valve replacement. Prosthesis oversizing and improper mitral annular handling appeared to be the predisposing factors of this complication.
authors.affiliation: Cardiac and Thoracic Department, University of Pisa Medical School, Italy.
authors.forename: O
authors.initials: O
authors.lastname: Di Gregorio
authors.forename: C
authors.initials: C
authors.lastname: Nardi
authors.forename: A
authors.initials: A
authors.lastname: Milano
authors.forename: M
authors.initials: M
authors.lastname: De Carlo
authors.forename: M
authors.initials: M
authors.lastname: Grana
authors.forename: U
authors.initials: U
authors.lastname: Bortolotti
mesh_terms: D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D006325:Heart Atria / Q000000981:diagnostic imaging* / Q000601:surgery; D006346:Heart Septum / Q000000981:diagnostic imaging* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D012422:Rupture, Spontaneous; D013529:Surgical Wound Dehiscence / Q000000981:diagnostic imaging* / Q000601:surgery; D013536:Suture Techniques