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Left ventricular rupture postmitral valve replacement: Surviving a catastrophe


1 Department of Cardiac Anesthesiology, Apollo Hospitals, Bhubaneswar, Odisha, India
2 Department of Cardiothoracic and Vascular Surgery, Apollo Hospitals, Bhubaneswar, Odisha, India

Correspondence Address:
Samarjit Bisoyi
Department of Cardiac Anesthesiology, Apollo Hospitals, Sainik School Road, Unit 15, Bhubaneswar 751 005, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.148327

Clinical trial registration J-3675-2012

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Year : 2015  |  Volume : 18  |  Issue : 1  |  Page : 87-90

 

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One of the dreaded mechanical complications of mitral valve replacement (MVR) is rupture of the left ventricle (LV). This report describes the early diagnosis and successful repair of rupture of posterior wall of LV in an elderly patient who underwent MVR. We have discussed the risk factors and perioperative issues implicated in such complication. The anesthesiologist as an intra-operative echocardiographer can aid in identifying the patient at risk. Though important surgical steps are necessary to prevent the complication; nonetheless, the anesthesiologist needs to take key measures in the perioperative period.






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1 Department of Cardiac Anesthesiology, Apollo Hospitals, Bhubaneswar, Odisha, India
2 Department of Cardiothoracic and Vascular Surgery, Apollo Hospitals, Bhubaneswar, Odisha, India

Correspondence Address:
Samarjit Bisoyi
Department of Cardiac Anesthesiology, Apollo Hospitals, Sainik School Road, Unit 15, Bhubaneswar 751 005, Odisha
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.148327

Clinical trial registration J-3675-2012

Rights and Permissions

One of the dreaded mechanical complications of mitral valve replacement (MVR) is rupture of the left ventricle (LV). This report describes the early diagnosis and successful repair of rupture of posterior wall of LV in an elderly patient who underwent MVR. We have discussed the risk factors and perioperative issues implicated in such complication. The anesthesiologist as an intra-operative echocardiographer can aid in identifying the patient at risk. Though important surgical steps are necessary to prevent the complication; nonetheless, the anesthesiologist needs to take key measures in the perioperative period.






[FULL TEXT] [PDF]*


        
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