| Off pump repair of left ventricular rupture following mitral valve replacement: The crucial assistance of the IntraAortic Balloon Pump. | |
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MedLine Citation:
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PMID: 23088903 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Mihalis Argiriou; Vasilis Patris; Niki Lama; Orestis Argiriou; Christos Charitos |
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Publication Detail:
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Type: Journal Article Date: 2012-09-26 |
Journal Detail:
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Title: International journal of surgery case reports Volume: 4 ISSN: 2210-2612 ISO Abbreviation: Int J Surg Case Rep Publication Date: 2013 |
Date Detail:
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Created Date: 2013-01-08 Completed Date: 2013-01-09 Revised Date: 2013-02-21 |
Medline Journal Info:
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Nlm Unique ID: 101529872 Medline TA: Int J Surg Case Rep Country: Netherlands |
Other Details:
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Languages: eng Pagination: 5-6 Citation Subset: - |
Copyright Information:
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Copyright © 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Cardiac Surgery Department, Evangelismos General Hospital, Athens, Greece. Electronic address: mihalisargiriou@ath.forthnet.gr. |
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