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The Annals of Thoracic Surgery, Vol 27, 130-132, Copyright © 1979 by The Society of Thoracic Surgeons


ARTICLES

Posterior midventricular rupture after mitral valve replacement

G Katske, LR Golding, RR Tubbs and FD Loop

Posterior midventricular rupture occurred in 3 patients after insertion of a mitral prosthesis. Iatrogenic surgical trauma was not implicated. There were five clinical factors common to each case: a woman with mitral stenosis; a left ventricle of relatively normal size; the use of intermitent cold cardioplegia; the insertion of a porcine heterograft valve; and transient postoperative hypertension. Rupture in such cases may be caused by hyperdynamic left ventricular contraction against the strut of the prosthesis. Causes of ventricular perforation are discussed.


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