scholarly journals Left Ventricular Rupture Post Mitral Valve Replacement

2009 ◽  
Vol 3 ◽  
pp. CMC.S2533 ◽  
Author(s):  
Sameh I. Sersar ◽  
Ahmed A. Jamjoom
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Ventricular ◽  
Therapeutic Approaches ◽  
Advantages And Disadvantages ◽  
Ventricular Rupture ◽  
Left Ventricular Rupture ◽  
Very High ◽  
Better Than

Prevention is better than cure best applies here. As per many authors, posterior leaflet chordae preservation prevent Left ventricular rupture (LVR) and preserve LV geometry. We are presenting here 5 types of left ventricular rupture (LVR) post Mitral valve replacement (MVR) with different methods to repair with the advantages and disadvantages of each. The mortality rate is still very high despite the advances in cardiac surgery. Many therapeutic approaches have been adopted. Yet, none is ideal.

scholarly journals Use of a Sandwich Technique to Repair a Left Ventricular Rupture after Mitral Valve Replacement

2014 ◽  
Vol 41 (2) ◽  
pp. 195-197 ◽  
Author(s):  
Myles E. Lee ◽  
Mallika Tamboli ◽  
Anthony W. Lee
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Sandwich Technique ◽  
Ventricular Rupture ◽  
Left Ventricular Rupture ◽  
Valve Function ◽  
Normal Mitral Valve

One difficulty with external repair of left ventricular rupture after mitral valve replacement is collateral bleeding in friable myocardium adjacent to the rupture. The bleeding is caused by tension on the closing sutures, whether or not pledgets have been used. We report the case of a 69-year-old woman who underwent an uneventful mitral valve replacement. After cardiopulmonary bypass was terminated, brisk bleeding started from high in the posterior left ventricular wall, typical of a type III defect. We undertook external repair, placing a plug of Teflon felt into the cavity of the rupture and sandwiching it into place with pledgeted mattress and figure-of-8 sutures. The space occupied by the plug decreased the distance needed to obliterate the defect and thereby reduced the tension on the sutures necessary to achieve hemostasis. This simple technique enabled closure of the defect and avoided collateral tears that would have compromised an otherwise successful repair. Two years postoperatively, the patient had normal mitral valve function and no left ventricular aneurysm. In addition to reporting the patient's case, we review the types of left ventricular rupture that can occur during mitral valve replacement and discuss the various repair options.

Left ventricular rupture following mitral valve replacement secondary to chronic steroid use

2015 ◽  
Vol 31 (4) ◽  
pp. 334-335
Author(s):  
Krithika Ramaprabhu ◽  
Vijit Koshy Cherian ◽  
Aju Jacob ◽  
Bashi Vellayikodath Velayudhan
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Ventricular ◽  
Steroid Use ◽  
Ventricular Rupture ◽  
Left Ventricular Rupture

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

1990 ◽  
Vol 20 (6) ◽  
pp. 699-703 ◽  
Author(s):  
Yoshiya Ishikura ◽  
Shigetoh Odagiri ◽  
Akira Shimazu ◽  
Hiroshi Yoshimatsu
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Ventricular ◽  
Ventricular Rupture ◽  
Left Ventricular Rupture

Repair of left ventricular rupture after mitral valve replacement: use of a Teflon patch and glue

1999 ◽  
Vol 67 (6) ◽  
pp. 1802-1803 ◽  
Author(s):  
Anselmo de la Fuente ◽  
Oscar Agudo ◽  
Ramón Sánchez ◽  
Juan L Fernández ◽  
Ignacio Moriones
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Ventricular ◽  
Ventricular Rupture ◽  
Left Ventricular Rupture

scholarly journals Surgical Treatment of Left Ventricular Rupture after Mitral Valve Replacement.

1992 ◽  
Vol 21 (1) ◽  
pp. 62-67 ◽  
Author(s):  
Kenji KUSUHARA ◽  
Shigehito MIKI ◽  
Yuichi UEDA ◽  
Yutaka OKITA ◽  
Takafumi TAHATA ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Ventricular ◽  
Ventricular Rupture ◽  
Left Ventricular Rupture
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