Document Detail


Off pump repair of left ventricular rupture following mitral valve replacement: The crucial assistance of the IntraAortic Balloon Pump.
MedLine Citation:
PMID:  23088903     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Left ventricular (LV) rupture is a not as frequent, but potentially lethal complication of mitral valve replacement or repair.
PRESENTATION OF CASE: We report a case of a 67-year-old man who underwent mitral valve replacement and Cox Maze IV procedure. A massive bleed from the LV rupture was noted postoperatively while the patient was extubated. The control of bleeding was impossible until an IntraAortic Balloon Pump (IABP) was inserted. A bovine pericardial patch was applied, overlapping an extensive epicardial area, perimetrically of the hematoma. Between the epicardium and the pericardial patch we applied an autologous fibrin sealant.
DISCUSSION: The off-pump technique used to repair the LV rupture after a MVR, is more feasible when the patient is supported by an IABP that subsequently decreases the tension of the myocardial suture site.
CONCLUSION: The IABP, is a necessary device, that decreases the tension along the suture site post a left ventricular rupture following a MVR.
Authors:
Mihalis Argiriou; Vasilis Patris; Niki Lama; Orestis Argiriou; Christos Charitos
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Publication Detail:
Type:  Journal Article     Date:  2012-09-26
Journal Detail:
Title:  International journal of surgery case reports     Volume:  4     ISSN:  2210-2612     ISO Abbreviation:  Int J Surg Case Rep     Publication Date:  2013  
Date Detail:
Created Date:  2013-01-08     Completed Date:  2013-01-09     Revised Date:  2013-02-21    
Medline Journal Info:
Nlm Unique ID:  101529872     Medline TA:  Int J Surg Case Rep     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  5-6     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Cardiac Surgery Department, Evangelismos General Hospital, Athens, Greece. Electronic address: mihalisargiriou@ath.forthnet.gr.
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