title: Left ventricular rupture postmitral valve replacement: surviving a catastrophe.
abstract: One of the dreaded mechanical complications of mitral valve replacement (MVR) is rupture of the left ventricle (LV). This report describes the early diagnosis and successful repair of rupture of posterior wall of LV in an elderly patient who underwent MVR. We have discussed the risk factors and perioperative issues implicated in such complication. The anesthesiologist as an intra-operative echocardiographer can aid in identifying the patient at risk. Though important surgical steps are necessary to prevent the complication; nonetheless, the anesthesiologist needs to take key measures in the perioperative period.
authors.affiliation: Department of Cardiac Anesthesiology, Apollo Hospitals, Bhubaneswar, Odisha, India.
authors.forename: Samarjit
authors.initials: S
authors.lastname: Bisoyi
authors.forename: Jitendu
authors.initials: J
authors.lastname: Mohanty
authors.forename: Raghunath
authors.initials: R
authors.lastname: Mohapatra
authors.forename: Debashish
authors.initials: D
authors.lastname: Nayak
mesh_terms: D002114:Calcinosis / Q000601:surgery; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D004452:Echocardiography; D005260:Female; D006341:Heart Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D012214:Rheumatic Heart Disease / Q000150:complications / Q000628:therapy