AI Article Synopsis
- A 64-year-old woman suffered a type I delayed rupture of the left ventricle after undergoing mitral valve replacement for mitral stenosis, a serious complication with high mortality risks.
- Her treatment involved innovative surgical techniques, combining both intracardiac and extracardiac repairs, which included suturing and using patches to close the rupture effectively.
- After surgery, imaging revealed no complications such as a pseudoaneurysm, and the patient has remained well for two years post-operation.
Article Abstract
Rupture of the left ventricle (LV) after mitral valve replacement (MVR) is a devastating complication, associated with high mortality. A 64-year-old woman with a type I delayed LV rupture, which occurred after MVR with a 27-mm St. Jude Medical mitral prosthesis for mitral stenosis, was successfully treated by a combination of intracardiac and extracardiac surgical repair techniques. The extracardiac repair involved approximating the edges of myocardium around the tear with large sutures bolstered by strips of Teflon felt, then covering the epicardial hematoma with another porcine pericardial patch, using gelatin resorcinol formaldehyde glue and collagen sheets. The intracardiac repair involved suturing the edges of an oval piece of porcine pericardium to the endocardium around the laceration. No LV pseudoaneurysm was detected postoperatively on echocardiography or computed tomography scans. The patient is well 2 years after the operation.
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| http://dx.doi.org/10.1007/s00595-004-2844-z | DOI Listing |
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