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The Annals of Thoracic Surgery, Vol 54, 175-176, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Mechanical support for intraventricular decompression in repair of left ventricular disruption

RT Baldwin and DA Cooley
Department of Cardiovascular Surgery, Texas Heart Institute, Houston 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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Copyright © 1992 by The Society of Thoracic Surgeons.