title: [Left Ventricular Rupture during Both Mitral and Aortic Valve Replacements].
abstract: A 73-year-old woman on hemodialysis was transferred to our hospital for surgical treatment of heart valve disease. She required both mitral and aortic valve replacement with mechanical valves, associated with tricuspid annuloplasty. After aortic de-clamping, a massive hemorrhage from the posterior atrioventricular groove was observed. Under repeated cardiac arrest, the left atrium was reopened, the implanted mitral prosthetic valve was removed and a type I left ventricular rupture (Treasure classification) was diagnosed. The lesion was directly repaired with mattress stitches and running sutures, using reinforcement materials such as a glutaraldehyde-treated bovine pericardium. To avoid mechanical stress by the prosthetic valve on the repaired site, a mechanical valve was implanted using a translocation method. The patient suffered from aspiration pneumonia and disuse atrophy for 3 months. However, she was doing well at 1 year post-operation.
authors.affiliation: Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Japan.
authors.forename: Soki
authors.initials: S
authors.lastname: Kurumisawa
authors.forename: Kei
authors.initials: K
authors.lastname: Aizawa
authors.forename: Ippei
authors.initials: I
authors.lastname: Takazawa
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Sato
authors.forename: Arata
authors.initials: A
authors.lastname: Muraoka
authors.forename: Shinnichi
authors.initials: S
authors.lastname: Ohki
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Saito
authors.forename: Koji
authors.initials: K
authors.lastname: Kawahito
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Misawa
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D003956:Dialysis; D005260:Female; D006341:Heart Rupture / Q000150:complications / Q000601:surgery*; D006349:Heart Valve Diseases / Q000150:complications / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D051436:Renal Insufficiency, Chronic / Q000150:complications / Q000628:therapy