Document Detail

Intraoperative left ventricular perforation with false aneurysm formation.
MedLine Citation:
PMID:  1008957     Owner:  NLM     Status:  MEDLINE    
Two cases of perforation of the left ventricle during mitral valve replacement are described. In the first case there was perforation at the site of papillary muscle excision and this was recognized and successfully treated. However, a true ventricular aneurysm developed at the repair site. One month after operation rupture of the left ventricle occurred at a second and separate site on the posterior aspect of the atrioventricular ring. This resulted in a false aneurysm which produced a pansystolic murmur mimicking mitral regurgitation. Both the true and the false aneurysm were successfully repaired. In the second case perforation occurred on the posterior aspect of the atrioventricular ring and was successfully repaired. However, a false ventricular aneurysm developed and ruptured into the left atrium producing severe, but silent, mitral regurgitation. This was recognized and successfully repaired. The implications of these cases are discussed.
G P Sharratt; J K Ross; J L Monro; A M Johnson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  British heart journal     Volume:  38     ISSN:  0007-0769     ISO Abbreviation:  Br Heart J     Publication Date:  1976 Nov 
Date Detail:
Created Date:  1977-03-15     Completed Date:  1977-03-15     Revised Date:  2008-11-20    
Medline Journal Info:
Nlm Unique ID:  0370634     Medline TA:  Br Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1154-9     Citation Subset:  AIM; IM    
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MeSH Terms
Heart Aneurysm / etiology*,  radiography
Heart Diseases / etiology
Heart Injuries / etiology*
Heart Valve Prosthesis / adverse effects
Heart Ventricles / injuries
Middle Aged
Mitral Valve / surgery*
Postoperative Complications
Rupture, Spontaneous / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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