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The Annals of Thoracic Surgery, Vol 56, 163-165, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Straddling endoventricular pericardial patch in prevention of type I myocardial rupture

V Arena, F Alamanni, A Repossini, S Di Matteo, C Antona and P Biglioli
Cardiac Surgery Department, University of Milan, Centro Cardiologico Fondazione Monzino, Italy.

Type I myocardial rupture due to atrioventricular discontinuity in the region of the posterior mitral annulus is a fearsome and nearly unpredictable complication of mitral valve replacement. We report a case of a 49-year-old patient who had been operated on for mitral valve replacement. The posterior mitral leaflet had heavy calcifications embedded through the annulus in the posterior ventricular wall. After removal of calcifications we avoided the risk of myocardial rupture by suturing a straddling pericardial patch on the atrioventricular junction. The operation resulted in complete recovery.

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				C. K. Park, P. W. Park, J.-H. Yang, Y. T. Lee, K. Sung, and W. S. Kim Intraventricular Patch Repair Through an Extended Aortotomy for Repeated Left Ventricular Rupture After Mitral Valve Replacement Ann. Thorac. Surg., September 1, 2008; 86(3): 1000 - 1002. [Abstract] [Full Text] [PDF]

				S. Masroor, J. Schor, R. Carrillo, and D. B. Williams Endoventricular pocket repair of type I myocardial rupture after mitral valve replacement: a new technique using pericardial patch, Teflon felt, and BioGlue Ann. Thorac. Surg., April 1, 2004; 77(4): 1439 - 1441. [Abstract] [Full Text] [PDF]