Partial translocation for repair of left ventricular rupture after mitral valve replacement.
A new partial translocation technique to repair left ventricular rupture after mitral valve replacement and reimplant a mitral prosthesis is described. We repaired a tear from the interior by using mattress stitches buttressed with strips of Dacron felt, constructed a new annulus with a crescent-shaped piece of bovine pericardium on the left atrial wall above the repaired mitral annulus, and implanted a new prosthesis by using the newly constructed mitral annulus. We consider avoidance of mechanical stress by the prosthesis on the repaired site crucial to a successful outcome, and this new method is useful.
Yaku
Hitoshi
H
Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. yakuh@koto.kpu-m.ac.jp
Shimada
Yasuyuki
Y
Yamada
Yoshiaki
Y
Hayashida
Kyoko
K
Fukumoto
Atsushi
A
Watanabe
Taiji
T
Kitamura
Nobuo
N
D000368:Aged; D001281:Atrial Fibrillation / Q000150:complications; D002315:Cardiopulmonary Bypass; D002908:Chronic Disease; D006341:Heart Rupture / Q000209:etiology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000209:etiology; D012214:Rheumatic Heart Disease / Q000601:surgery; D012422:Rupture, Spontaneous; D013536:Suture Techniques; D014014:Tissue Adhesives
D014014:Tissue Adhesives