Abstract
Two patients who underwent mitral valve replacement sustained posterior left ventricular disruption postoperatively and survived. Management consisted of repair from outside the heart without removal of the mitral prosthesis. This was achieved with a running Prolene suture in the atrioventricular junction in one patient and pledgeted sutures in the other who had transverse midventricular disruption. Biologic glue was crucial in controlling hemorrhage after the repair in both cases. The patient with transverse midventricular disruption required placement bilaterally of pectoralis muscle flaps to close the sternal wound because of swelling and dilatation of the heart.
| Original language | English |
|---|---|
| Pages (from-to) | 249-251 |
| Number of pages | 3 |
| Journal | Canadian Journal of Surgery |
| Volume | 30 |
| Issue number | 4 |
| State | Published - Jul 1 1987 |
| Externally published | Yes |
Fingerprint
ASJC Scopus subject areas
- Surgery
Cite this
Posterior wall disruption of the left ventricle after mitral valve replacement : management of bleeding and cardiac enlargement. / Vincente, W. V.; Lichtenstein, S. V.; el-Dalati, H.; Mahoney, J.; Salerno, Tomas.
In: Canadian Journal of Surgery, Vol. 30, No. 4, 01.07.1987, p. 249-251.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Posterior wall disruption of the left ventricle after mitral valve replacement
T2 - management of bleeding and cardiac enlargement.
AU - Vincente, W. V.
AU - Lichtenstein, S. V.
AU - el-Dalati, H.
AU - Mahoney, J.
AU - Salerno, Tomas
PY - 1987/7/1
Y1 - 1987/7/1
N2 - Two patients who underwent mitral valve replacement sustained posterior left ventricular disruption postoperatively and survived. Management consisted of repair from outside the heart without removal of the mitral prosthesis. This was achieved with a running Prolene suture in the atrioventricular junction in one patient and pledgeted sutures in the other who had transverse midventricular disruption. Biologic glue was crucial in controlling hemorrhage after the repair in both cases. The patient with transverse midventricular disruption required placement bilaterally of pectoralis muscle flaps to close the sternal wound because of swelling and dilatation of the heart.
AB - Two patients who underwent mitral valve replacement sustained posterior left ventricular disruption postoperatively and survived. Management consisted of repair from outside the heart without removal of the mitral prosthesis. This was achieved with a running Prolene suture in the atrioventricular junction in one patient and pledgeted sutures in the other who had transverse midventricular disruption. Biologic glue was crucial in controlling hemorrhage after the repair in both cases. The patient with transverse midventricular disruption required placement bilaterally of pectoralis muscle flaps to close the sternal wound because of swelling and dilatation of the heart.
UR - http://www.scopus.com/inward/record.url?scp=0023378099&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0023378099&partnerID=8YFLogxK
M3 - Article
C2 - 3300917
AN - SCOPUS:0023378099
VL - 30
SP - 249
EP - 251
JO - Canadian Journal of Surgery
JF - Canadian Journal of Surgery
SN - 0008-428X
IS - 4
ER -