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Vincenzo Arena
Francesco Alamanni
Alberto Repossini
Silvia Di Matteo
Carlo Antona
Paolo Biglioli
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Ann Thorac Surg 1993;56:163-165
© 1993 The Society of Thoracic Surgeons

Articles

Straddling endoventricular pericardial patch in prevention of type I myocardial rupture

Vincenzo Arena, MD, Francesco Alamanni, MD, Alberto Repossini, MD*, Silvia Di Matteo, MD, Carlo Antona, MD, Paolo Biglioli, MD

Cardiac Surgery Department, University of Milan, Centro Cardiologico "Fondazione Monzino," Milan, Italy

Accepted for publication September 10, 1992.

* Address reprint requests to Dr Repossini, Centro Cardiologico Monzinu, Via Parea, 4, 20138 Milano, Italy.

Type I myocardial rupture due to atrioventricular discontinuity in the region of the posterior mitral annulus is a fearsome and nearly unpredictable complication of mitral valve replacement. We report a case of a 49-year-old patient who had been operated on for mitral valve replacement. The posterior mitral leaflet had heavy calcifications embedded through the annulus in the posterior ventricular wall. After removal of calcifications we avoided the risk of myocardial rupture by suturing a straddling pericardial patch on the atrioventricular junction. The operation resulted in complete recovery.




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