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Ann Thorac Surg 1978;25:551-554
© 1978 The Society of Thoracic Surgeons


Articles

Intraoperative Posterior Left Ventricular Wall Rupture Associated with Mitral Valve Replacement

Allan Wolpowitz, F.R.C.S.*, Marius S. Barnard, M.B., Ch.M., Hector E. Sánchez, M.D., Christiaan N. Barnard, M.D., Ph.D.

Department of Cardiac Surgery, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa

Accepted for publication October 13, 1977.

* Address reprint requests to Dr. Wolpowitz, Department of Cardiac Surgery, Groote Schuur Hospital, Observatory, 7925, Cape Town, South Africa

An unusual but often lethal complication of mitral valve replacement is rupture of the left ventricle. The two recognized types of rupture are discussed, and the literature and pathology are reviewed. It is stressed that this complication can be prevented, and the factors involved in prevention are outlined.




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