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Ann Thorac Surg 1990;49:819-821
© 1990 The Society of Thoracic Surgeons

Articles

Fatal left ventricular perforation during mitral balloon valvoplasty

John M. Robertson, MD*, Christian de Virgilio, MD, William French, MD, Carlos Ruiz, MD, Ronald J. Nelson, MD

Departments of Surgery and Medicine, Harbor-University of California at Los Angeles Medical Center, Torrance, California, USA

Accepted for publication October 11, 1989.

* Address reprint requests to Dr Robertson, Division of Cardiothoracic Surgery, Department of Surgery, Harbor-UCLA Medical Center, 1000 W Carson St, Torrance, CA 90509.

Percutaneous balloon dilation of left-sided cardiac valves is being performed with increasing frequency. We describe and document the mechanism of injury of left ventricular perforation during mitral balloon valvoplasty. Despite a technically successful surgical repair with hemodynamic restoration, the patient was brain dead. We emphasize (1) the risk and the potentially catastrophic nature of left ventricular perforation during mitral balloon valvoplasty and (2) the need for surgical standby and rapid operative decompression for this complication.




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Ann. Thorac. Surg., June 1, 1991; 51(6): 1043 - 1043.
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Ann. Thorac. Surg., June 1, 1991; 51(6): 1042 - 1043.
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Ann. Thorac. Surg., December 1, 1990; 50(6): 1022 - 1022.
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