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Ann Thorac Surg 2004;78:1851-1853
© 2004 The Society of Thoracic Surgeons

How to do it

Partial Translocation for Repair of Left Ventricular Rupture After Mitral Valve Replacement

Hitoshi Yaku, MD, PhDa,*, Yasuyuki Shimada, MD, PhDa, Yoshiaki Yamada, MDa, Kyoko Hayashida, MDa, Atsushi Fukumoto, MDa, Taiji Watanabe, MDa, Nobuo Kitamura, MD, PhDa

a Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan

Accepted for publication September 18, 2003.

* Address reprint requests to Dr Yaku, Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan
yakuh{at}koto.kpu-m.ac.jp

A new partial translocation technique to repair left ventricular rupture after mitral valve replacement and reimplant a mitral prosthesis is described. We repaired a tear from the interior by using mattress stitches buttressed with strips of Dacron felt, constructed a new annulus with a crescent-shaped piece of bovine pericardium on the left atrial wall above the repaired mitral annulus, and implanted a new prosthesis by using the newly constructed mitral annulus. We consider avoidance of mechanical stress by the prosthesis on the repaired site crucial to a successful outcome, and this new method is useful.






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