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Ann Thorac Surg 1992;54:175-176
© 1992 The Society of Thoracic Surgeons

Articles

Mechanical support for intraventricular decompression in repair of left ventricular disruption

Robert T. Baldwin, MD, Denton A. Cooley, MD*

Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas USA

Accepted for publication March 23, 1992.

* Address reprint requests to Dr Cooley, Texas Heart Institute, PO Box 20345, Houston, TX 77225.

Posterior disruption of the left ventricle is a difficult injury to repair and is associated with a high intraoperative mortality. We report a case of posterior disruption that occurred during a mitral valve operation. A conventional approach to repair failed after sutures tore through the myocardium. Intraventricular decompression to reduce ventricular wall tension and allow for successful suture repair of the injury was accomplished by insertion of a BioMedicus left ventricular assist device.




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