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Atrioventricular (AV) groove disruption is a lethal complication of mitral surgery. Traditional teaching mandates that an internal repair be performed requiring prosthesis explantation, complete atrioventricular groove reconstruction utilizing a patch positioned from within the cardiac cavity, and subsequent prosthesis re-implantation. This is a massive undertaking and yields uniformly poor results.

Long-Term Outcomes of External Repair as a Rescue Operation for Atrioventricular Groove Disruption following Mitral Valve Surgery