Open AccessRupture of the left ventricular free wall following mitral valve replacement for mitral stenosis: A cause of complete (fatal) or contained (false aneurysm) cardiac rupture
Author(s) -
Waller Bruce F.,
Taliercio Charles P.,
Clark Michael,
Pless John E.
Publication year - 1991
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960140411
Subject(s) - medicine , pseudoaneurysm , mitral valve replacement , stenosis , cardiology , complication , heart rupture , aneurysm , mitral valve , surgery , heart aneurysm , mitral valve stenosis
Abstract Complete or incomplete left ventricular free wall rupture is a known complication of mitral valve replacement. Complete free wall rupture may result in fatal bleeding, whereas imcomplete rupture may result in the formation of a pseudoaneurysm with survival possible. Two necropsy patients are described illustrating both of these complications. Proposed mechanisms for injury to the left ventricular free wall are reviewed.