Left Ventricular Wall Rupture after Mitral Valve Replacement

Chi, Seong; Beshore, Richard; Gonzalez‐Lavin, Lorenzo

doi:10.1016/s0003-4975(10)64972-7

Cited by 19 publications

(1 citation statement)

References 4 publications

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“…Chi and Celemin reported successful treatment by suturing a large intraventricular patch over the entire area of laceration and hematoma. 22,23 Bjork et al 13 suggested reopening of the left atrium for closure of Type I rupture and external repair with buttressed mattress sutures for Type II ruptures. Moreover, internal repair may allow better visualization of ruptured myocardium.…”

Section: Discussionmentioning

confidence: 99%

Results and outcomes for patients with atrioventricular groove disruption after mitral valve surgery

et al. 2021

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Background: Atrioventricular groove disruption (AVGD) is a rare and severe complication of mitral valve surgery (MVS). Current literature is limited to several case reports and series. Our aim was to analyze outcomes of patients with AVGD after MVS from our tertiary cardiac surgery center. Methods: Between June 2010 and January 2019, 18 patients suffering AVGD were identified in our institutional database and included in our retrospective observation. Preoperative, intraoperative and outcome data were analyzed using IBM SPSS Statistics. Late survival was estimated by using the Kaplan–Meier survival analysis. Results: The mean age of the study population was 76 ± 5 years. Most common indication for MVS was an isolated mitral valve insufficiency (67%). Severe annular calcification was present in four patients (22%). Majority of implanted valves were biological prosthesis (78%). Due to the location, 72% suffered type I rupture. External repair was performed in 94% of all patients. Second look operation in regard of excessive mediastinal hemorrhage was necessary in 67% of patients. Mean hospital stay of the presented collective was 13 ± 11 days with an intra-hospital mortality of 56%. Late follow-up was obtained in eight patients at an average of 3.1 (1.6–5.7) years postoperatively. Conclusion: Mortality rates for AVGD after MVS are high. However, way of managing AVGD depends on the underlying type of rupture and should be evaluated in regard of the myocardial damage. Due to the rare occurrence, registry data might help to address more scientific value concerning therapeutic measures and outcomes of this severe complication.

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Section: Discussionmentioning

confidence: 99%

Results and outcomes for patients with atrioventricular groove disruption after mitral valve surgery

et al. 2021

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Chirurgie der Atrioventrikularklappen

Hetzer¹

1991

Herzchirurgie

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Left ventricular rupture following mitral valve replacement —A report of two cases—

Ishikura

Odagiri

Shimazu

et al. 1990

The Japanese Journal of Surgery

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Left ventricular rupture is a rare and usually fatal complication of mitral valve replacement, and we report herein, 2 successfully treated cases of type III left ventricular rupture. The laceration in the posterior ventricular wall was repaired by a wide buttressed mattress suture with teflon felt belts on either side, then covered with Oxycel and fibrin glue or a large patch and fibrin glue. Naturally, the operation must be performed carefully and gently, however, the most important etiologic factor of left ventricular rupture is the extremely friable myocardium due to aging and a long history of heart disease. Utilizing fibrin glue for successfully repairing the rupture proved very effective.

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Left Ventricular Wall Rupture after Mitral Valve Replacement

Cited by 19 publications

References 4 publications

Results and outcomes for patients with atrioventricular groove disruption after mitral valve surgery

Results and outcomes for patients with atrioventricular groove disruption after mitral valve surgery

Chirurgie der Atrioventrikularklappen

Left ventricular rupture following mitral valve replacement —A report of two cases—

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