Partial translocation for repair of left ventricular rupture after mitral valve replacement

Ann Thorac Surg. 2004 Nov;78(5):1851-3. doi: 10.1016/j.athoracsur.2003.09.096.

Abstract

A new partial translocation technique to repair left ventricular rupture after mitral valve replacement and reimplant a mitral prosthesis is described. We repaired a tear from the interior by using mattress stitches buttressed with strips of Dacron felt, constructed a new annulus with a crescent-shaped piece of bovine pericardium on the left atrial wall above the repaired mitral annulus, and implanted a new prosthesis by using the newly constructed mitral annulus. We consider avoidance of mechanical stress by the prosthesis on the repaired site crucial to a successful outcome, and this new method is useful.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Atrial Fibrillation / complications
  • Cardiopulmonary Bypass
  • Chronic Disease
  • Heart Rupture / etiology
  • Heart Rupture / surgery*
  • Heart Valve Prosthesis Implantation*
  • Heart Ventricles / surgery*
  • Humans
  • Male
  • Mitral Valve / surgery*
  • Mitral Valve Stenosis / surgery
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery*
  • Postoperative Hemorrhage / etiology
  • Rheumatic Heart Disease / surgery
  • Rupture, Spontaneous
  • Suture Techniques
  • Tissue Adhesives

Substances

  • Tissue Adhesives