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The Annals of Thoracic Surgery, Vol 27, 130-132, Copyright © 1979 by The Society of Thoracic Surgeons
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.
ARTICLES
Posterior midventricular rupture after mitral valve replacement
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