title: Repair of left atrioventricular disruption after mitral valve replacement using extracorporeal life support system for effective ventricular unloading.
abstract: Atrioventricular (AV) disruption is a rare but fatal complication after prosthetic mitral valve replacement. Surgical management is controversial and ranges from epicardial tissue sealing to open repair using autologous or xenogenic patch techniques to autotransplantation of the heart. We report the successful repair of an AV disruption Type I using an extracorporeal life support (ECLS) system for effective ventricular unloading followed by epicardial patch closure. The surgical management of AV disruption benefits from the use of ECLS, as it allows effective decompression of the heart without requiring full heparinization.
authors: Department of Cardiac Surgery, Ludwig-Maximilians-Universität München, Munich, Germany ralf.sodian@med.uni-muenchen.de.
authors: Ralf
authors: R
authors: Sodian
authors: Department of Cardiac Surgery, Ludwig-Maximilians-Universität München, Munich, Germany Department of Plastic Surgery and Handsurgery, Technische Universität München, Klinikum rechts der Isar, Munich, Germany.
authors: Daniel
authors: D
authors: Schmauss
authors: Department of Cardiac Surgery, Ludwig-Maximilians-Universität München, Munich, Germany.
authors: Christian
authors: C
authors: Hagl
authors: Department of Cardiac Surgery, Ludwig-Maximilians-Universität München, Munich, Germany.
authors: Gerd
authors: G
authors: Juchem
mesh_terms: D000368:Aged; D007611:Aprotinin / Q000627:therapeutic use; D004338:Drug Combinations; D005112:Extracorporeal Circulation / Q000379:methods*; D005260:Female; D005340:Fibrinogen / Q000627:therapeutic use; D006335:Heart Injuries / Q000209:etiology / Q000628:therapy; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D013917:Thrombin / Q000627:therapeutic use
chemical_list: D004338:Drug Combinations; C093991:tachocomb; D005340:Fibrinogen; D007611:Aprotinin; D013917:Thrombin
keywords: Bleeding; Circulatory support devices; Mitral valve replacement; Myocardial injury