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Ann Thorac Surg 2004;77:1439-1441
© 2004 The Society of Thoracic Surgeons

Case report

Endoventricular pocket repair of type I myocardial rupture after mitral valve replacement: a new technique using pericardial patch, Teflon felt, and BioGlue

Saqib Masroor, MDa,b, John Schor, MDa, Roger Carrillo, MDa, Donald B. Williams, MDa*

a Mount Sinai Medical Center, Miami Beach, Florida, USA
b University of Miami/Jackson Memorial Hospital, Miami Beach, Florida, USA

Accepted for publication April 14, 2003.

* Address reprint requests to Dr Williams, Thoracic and Cardiovascular Surgery, Mount Sinai Medical Center, 4300 Alton Rd, Miami Beach, FL 33140, USA.

Left ventricular (LV) rupture is an infrequent but potentially lethal complication of mitral valve replacement and repair. We report the case of an 82-year-old man who underwent mitral valve replacement and the repair of an atrial septal defect. Both valve leaflets were excised and the annulus was extensively decalcified, followed by the implantation of a bioprosthetic valve. LV rupture was diagnosed after weaning from cardiopulmonary bypass (CPB). CPB was resumed and the bioprosthetic valve was removed. The patient then underwent a unique repair using a pericardial patch, Teflon felt (Meadox Medical Inc, Oakland, NJ), and BioGlue (CryoLife Inc, Kennesaw, GA). A second valve was implanted with a successful outcome.




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