scholarly journals A Case Using the Double Patch Repair and Infarct Exclusion Method for Postinfarction Left Ventricular Rupture

2012 ◽  
Vol 71 (1) ◽  
pp. 60-63
Author(s):  
Mitsuru Iida ◽  
Yukihiko Orime ◽  
Tomofumi Umeda ◽  
Kimio Kikushima ◽  
Kazuhiro Watanabe ◽  
...  
Keyword(s):  
Left Ventricular ◽  
Patch Repair ◽  
Ventricular Rupture ◽  
Left Ventricular Rupture ◽  
Infarct Exclusion ◽  
Exclusion Method

Two Cases Using “Epi-Endocardial Patch Repair” for Postinfarction Left Ventricular Rupture

2003 ◽  
Vol 18 (2) ◽  
pp. 164-166 ◽  
Author(s):  
Takeshi Nishina ◽  
Takaaki Koshiji ◽  
Kazunobu Nishimura ◽  
Masashi Komeda
Keyword(s):  
Left Ventricular ◽  
Patch Repair ◽  
Ventricular Rupture ◽  
Left Ventricular Rupture

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.

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