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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Left ventricular pseudoaneurysm following mitral valve repair
Hirofumi Kasahara1, Gilbert Beran, Werner Mohl
1Department of Cardiothoracic Surgery, Medical University of Vienna, 1090, Vienna, Austria. kasahara@sc.itc.keio.ac.jp
General Thoracic and Cardiovascular Surgery
|April 16, 2009
Summary
A rare left ventricular pseudoaneurysm after mitral valve repair was successfully treated using a novel sutureless technique. This study highlights a rare complication with high mortality, emphasizing the need for awareness and innovative treatments.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Devices
Background:
- Left ventricular pseudoaneurysm is a rare but serious complication following mitral valve surgery.
- The incidence of left ventricular rupture post-mitral valve surgery is approximately 0.56% with a high mortality rate.
Observation:
- A case of left ventricular pseudoaneurysm occurred after mitral valve repair, potentially from valve competence testing.
- The pseudoaneurysm was successfully managed using a sutureless technique involving a biodegradable collagen system with fibrinogen-based coating.
Findings:
- Literature review (1990-2006) of left ventricular rupture post-mitral valve surgery revealed an incidence of 0.56% (10978 operations) and a 57.4% mortality rate.
- A potential common mechanism for left ventricular rupture in various forms is described.
Implications:
- The sutureless technique offers a promising alternative for treating left ventricular pseudoaneurysms.
- Increased awareness of this rare complication and its potential mechanisms is crucial for cardiac surgeons.
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