| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 73, 14-22, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
VO Bjork, A Henze and L Rodriguez
We are not the first to attempt repair of left ventricular rupture
complicating mitral valve replacement, as 18 analogous cases have been
reported earlier in the literature. Our series comprises 8 patients, 5 of
who, survived. A review of these 26 cases provided several facts of
interest to surgeons dealing with this complication. The rupture occurred
either as a laceration in the posterior atrioventricular groove (type I, 16
of 26 patients) or as a perforation of the midportion of the left ventricle
(type II, 10 of 26 patients). Intraoperative rupture (17 of 26 patients)
was usually detected on termination of bypass, whereas delayed rupture (9
of 26 patients) occurred after chest closure or in the recovery room. The
morality rate was about 50 per cent for the intraoperative type, and no
patient survived a delayed rupture. The prognosis appeared to be most in
intraoperative type II lesions. The main factors affecting the prognosis
were (1) instant reinstitution of extracorporeal circulations and (2)
avoidance of the circumflex coronary artery during repair of type I lesions
located close to the anterolateral mitral commissure. Attempts to suture a
ventricular rupture on the pressure-loaded, beating heart were always
unsuccessful and frequently extended the laceration. Patients with the
delayed type of rupture died of hemorrhage before they could again be
placed on bypass. It may be preferable to reopen the lefr atrium in order
to repair a type I laceration. In type II perforations, direct repair with
buttressed sutures should be attempted from the exterior of the heart. The
angulated metal cannula for drainage of the left ventricle was identified
as a possible, but not previously reported, cause of myocardial
perforation. It is hoped that the use of a soft cannula or a metal cannula
with an angle of 60 degrees instead of 90 degrees will reduce the incidence
of this complication.
ARTICLES
Left ventricular rupture as a complication of mitral valve replacement
This article has been cited by other articles:
|
|
 |
|
  H. Deniz, O. Sokullu, S. Sanioglu, M. Sargin, B. Ozay, U. Ayoglu, S. Aykut Aka, and F. Bilgen Risk factors for posterior ventricular rupture after mitral valve replacement: results of 2560 patients Eur J Cardiothorac Surg, October 1, 2008; 34(4): 780 - 784. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Lanjewar, B. Thakkar, P. Kerkar, and J. Khandeparkar Submitral left ventricular pseudoaneurysm after mitral valve replacement: early diagnosis and successful repair Interact CardioVasc Thorac Surg, August 1, 2007; 6(4): 505 - 507. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Schuetz, C. Schulze, and S. M. Wildhirt Off-pump epicardial tissue sealing--a novel method for atrioventricular disruption complicating mitral valve procedures Ann. Thorac. Surg., August 1, 2004; 78(2): 569 - 573. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Fasol, T. Wild, and S. El Dsoki Left ventricular rupture after mitral surgery: repair by patch and sealing Ann. Thorac. Surg., March 1, 2004; 77(3): 1070 - 1072. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Mejia and D. S. Thomson A new technique for repair of atrioventricular disruption complicating mitral valve replacement Ann. Thorac. Surg., June 1, 2003; 75(6): 1973 - 1974. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Ito, H. Murayama, A. Ishida, S. Asano, and Y. Nakagawa Spontaneous disappearance of a false aneurysm after iatrogenic ruptured ventricle Ann. Thorac. Surg., June 1, 2002; 73(6): 1967 - 1969. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. de la Fuente, O. Agudo, R. Sanchez, J. L. Fernandez, and I. Moriones Repair of left ventricular rupture after mitral valve replacement: use of a Teflon patch and glue Ann. Thorac. Surg., June 1, 1999; 67(6): 1802 - 1803. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Victorino, J. N. Young, W. M. DeCampli, and C. L. Ennix Jr Left thoracotomy for emergent repair of ventricular rupture during mitral valve replacement Ann. Thorac. Surg., April 1, 1995; 59(4): 1011 - 1013. [Abstract] [PDF]
|
|
|
|
|
|
R. Chan, S. Lubicz, L. Oliver, and P. Calafiore Left ventricular false aneurysm complicating mitral valve repair Ann. Thorac. Surg., July 1, 1993; 56(1): 175 - 176. [Abstract] [PDF]
|
|
|
|
|
|
R. A. DeWall and R. L. Ellis Implantation techniques: A primary consideration in valve surgery Ann. Thorac. Surg., September 1, 1989; 48(3_suppl_1): S59 - S60. [Abstract] [PDF]
|
|
|
|
|
|
J. S. Dhillon, G. K. Randhawa, and S. B. Pett Jr Successful repair of left ventricular rupture after redo mitral valve replacement Ann. Thorac. Surg., June 1, 1989; 47(6): 916 - 917. [Abstract] [PDF]
|
|
|
|
|
|
M. Azariades and S. C. Lennox Rupture of the Posterior Wall of the Left Ventricle after Mitral Valve Replacement: Etiological and Technical Considerations Ann. Thorac. Surg., November 1, 1988; 46(5): 491 - 494. [PDF]
|
|
|
|
|
|
K. J. Karlson, M. M. Ashraf, and R. L. Berger Rupture of Left Ventricle Following Mitral Valve Replacement Ann. Thorac. Surg., November 1, 1988; 46(5): 590 - 597. [Abstract] [PDF]
|
|
|
|
|
|
R. E. Applebaum, A. Sequeira, and J. S. McLaughlin A Technique to Repair Type I Left Ventricular Rupture Following Mitral Valve Replacement Ann. Thorac. Surg., February 1, 1988; 45(2): 216 - 219. [Abstract] [PDF]
|
|
|
|
|
|
J. M. Craver, E. L. Jones, R. A. Guyton, B. W. Cobbs Jr., and C. R. Hatcher Jr. Avoidance of Transverse Midventricular Disruption Following Mitral Valve Replacement Ann. Thorac. Surg., August 1, 1985; 40(2): 163 - 171. [Abstract] [PDF]
|
|
|
|
|
|
K. Maeda, C. Yamashita, T. Shida, M. Okada, and K. Nakamura Successful Surgical Treatment of Dissecting Left Atrial Aneurysm after Mitral Valve Replacement Ann. Thorac. Surg., April 1, 1985; 39(4): 382 - 384. [Abstract] [PDF]
|
|
|
|
|
|
D. Celemin, L. Nunez, M. Gil-Aguado, and J. L. Larrea Intraventricular Patch Repair of Left Ventricular Rupture Following Mitral Valve Replacement: New Technique Ann. Thorac. Surg., June 1, 1982; 33(6): 638 - 640. [Abstract] [PDF]
|
|
|
|
|
|
F. Gosalbez, F. A. de Linera, J. L. Cofino, J. L. Naya, J. Rodriguez, and A. Ortuna Isolated Mitral Valve Replacement and Ventricular Rupture: Presentation of 6 Patients Ann. Thorac. Surg., February 1, 1981; 31(2): 105 - 110. [Abstract] [PDF]
|
|
|
|
|
|
A. Zacharias Delayed LV Rupture Ann. Thorac. Surg., July 1, 1980; 30(1): 99 - 99. [PDF]
|
|
|
|
|
|
D. W. Miller Jr., D. D. Johnson, and T. D. Ivey Does Preservation of the Posterior Chordae Tendineae Enhance Survival during Mitral Valve Replacement? Ann. Thorac. Surg., July 1, 1979; 28(1): 22 - 27. [Abstract] [PDF]
|
|
|
|
|
|
L. Nunez, M. Gil-Aguado, M. Cerron, and P. Celemin Delayed Rupture of the Left Ventricle after Mitral Valve Replacement with Bioprosthesis Ann. Thorac. Surg., May 1, 1979; 27(5): 465 - 467. [Abstract] [PDF]
|
|
|
|
|
|
G. Katske, L. R. Golding, R. R. Tubbs, and F. D. Loop Posterior Midventricular Rupture after Mitral Valve Replacement Ann. Thorac. Surg., February 1, 1979; 27(2): 130 - 132. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
