Document Detail


Repair of intervalvular fibrous body rupture during aortic valve replacement.
MedLine Citation:
PMID:  21793923     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Abstract  The intervalvular fibrosa, the structure that connects the mitral and the aortic valves, can be injured during aortic valve replacement. Although this complication is rare, it may require complex and extensive repair. Herein, we describe management of a damaged aortic-mitral curtain and fibrous body during tissue aortic valve replacement in a patient with mixed connective tissue disorder. A "U" suture repair combining an external and internal reinforcement repair technique via the aorta, without explanting the prosthetic valve technique, is described. The purpose of using the "externalized" buttressed U-stitch was to obliterate any residual cavity and to assure control of hemorrhage externally. Repair of damaged fibrous body during aortic valve replacement (AVR) is challenging. We managed this difficult situation in a satisfactory surgical approach without explanting the aortic prosthesis. (J Card Surg 2011;26:372-374).
Authors:
Abdallah K Alameddine; Victor K Alimov; Joseph E Flack
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  26     ISSN:  1540-8191     ISO Abbreviation:  J Card Surg     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-07-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  372-4     Citation Subset:  IM    
Copyright Information:
© 2011 Wiley Periodicals, Inc.
Affiliation:
Division of Cardiac Surgery, Baystate Medical Center, Springfield, Massachusetts Department of Surgery, Tufts Medical School, Boston, Massachusetts.
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