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Dissection of the Atrial Septum Following Mitral Valve Surgery
Author(s) -
Prêtre René,
Murith Nicholas,
Neidhart Peter,
Luthi Philippe,
Faidutti Bernard
Publication year - 1994
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1994.tb00825.x
Subject(s) - medicine , dissection (medical) , mitral regurgitation , leak , mitral valve , surgery , cardiology , shunt (medical) , mitral annulus , complication , annulus (botany) , mitral valve repair , botany , environmental engineering , blood pressure , diastole , biology , engineering
A bstract lnterlayer dissection of the atrial septum resulting in the formation of a cavity developed after an attempted repair of a mitral paraprosthetic leak. Subsequent rupture of the cavity into both atria resulted in a small left‐to‐right shunt and significant left ventricu‐loatrial regurgitation. Misplaced stitches, aimed at obliterating the paraprosthetic leak, were the cause of the dissection. This case illustrates a previously unreported complication of mitral valve surgery and stresses the importance of proper exposure and handling of the mitral annulus. ( J Card Surg 7994;9:61–64 )