title: Late Chronic Tamponade after Intraoperative Right Ventricular Rupture Repair with Mediastinal Fat.
abstract: Advanced age and female sex are known risk factors for ventricular wall rupture during open-heart procedures. We present the case of an 83-year-old female patient with an intraoperative traumatic right ventricular free wall rupture during an aortic valve replacement procedure. Pledgetted interrupted sutures reinforced with large pieces of mediastinal fat were used for rupture repair. After 6 months, the patient was readmitted with the diagnosis of a retrosternal mediastinal mass and clinical signs of cardiac tamponade that required reoperation.
authors.affiliation: Department of Cardiac Surgery, Complejo Asistencial Universitario de León, León, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: Gualis
authors.affiliation: Department of Cardiac Surgery, Complejo Asistencial Universitario de León, León, Spain.
authors.forename: Mario
authors.initials: M
authors.lastname: Castaño
authors.affiliation: Department of Cardiac Surgery, Complejo Asistencial Universitario de León, León, Spain.
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Rodríguez
authors.affiliation: Department of Cardiac Surgery, Complejo Asistencial Universitario de León, León, Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: García
keywords: complications; elderly; tamponade