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Updated: Apr 26, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Repair of left atrioventricular disruption after mitral valve replacement using extracorporeal life support system
Ralf Sodian1, Daniel Schmauss2, Christian Hagl3
1Department of Cardiac Surgery, Ludwig-Maximilians-Universität München, Munich, Germany ralf.sodian@med.uni-muenchen.de.
Abstract:
Atrioventricular (AV) disruption is a rare but fatal complication after prosthetic mitral valve replacement. Surgical management is controversial and ranges from epicardial tissue sealing to open repair using autologous or xenogenic patch techniques to autotransplantation of the heart. We report the successful repair of an AV disruption Type I using an extracorporeal life support (ECLS) system for effective ventricular unloading followed by epicardial patch closure. The surgical management of AV disruption benefits from the use of ECLS, as it allows effective decompression of the heart without requiring full heparinization.
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