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Use of intraaortic balloon pump in left ventricle rupture after mitral valve replacement
Qamar Abid1, Podila Sitarama Rao, Simon W H Kendall
1Department of Cardiothoracic Surgery, The James Cook University Hospital, Middlesbrough, United Kingdom. quamarabid@hotmail.com
Insights
Left ventricle rupture after mitral valve replacement is rare but serious. An intraaortic balloon pump can aid left ventricle repair during cardiopulmonary bypass, preventing complications.
Area of Science:
- Cardiac Surgery
- Cardiovascular Research
- Medical Device Technology
Background:
- Mitral valve replacement is a common cardiac procedure.
- Left ventricle rupture is a rare but life-threatening complication.
- Preserving the posterior leaflet during mitral valve replacement aims to reduce complications.
Observation:
- Three cases of left ventricle rupture occurred within a single surgeon's 6-year experience post-mitral valve replacement.
- All patients underwent successful valve re-replacement on cardiopulmonary bypass.
- An intraaortic balloon pump was electively inserted before concluding cardiopulmonary bypass.
Findings:
- No intraoperative deaths, reexplorations, or excessive bleeding were observed in these cases.
- The use of an intraaortic balloon pump was associated with successful left ventricle repair.
- This suggests a potential benefit of intraaortic balloon pump in managing this specific complication.
Implications:
- Intraaortic balloon pump may be a valuable adjuvant for left ventricle repair after mitral valve replacement.
- Further research could explore the optimal timing and management protocols for intraaortic balloon pump use in such scenarios.
- This finding contributes to the understanding of managing rare but critical complications in cardiac surgery.
Abstract:
Over 6 years of a single surgeon experience, 3 patients had left ventricle rupture following mitral valve replacement, despite preserving the posterior leaflet. The valve was re-replaced on bypass in all patients. Intraaortic balloon pump was inserted electively before coming off bypass. There were no intraoperative deaths, reexploration, or excessive bleeding. An intraaortic balloon pump is an ideal adjuvant to left ventricle repair for ruptured ventricle following mitral valve replacement on cardiopulmonary bypass.