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Author Spotlight: Investigating the Underlying Mechanisms of Right Ventricular Failure in Pulmonary Hypertension
Published on: June 14, 2024
Late Chronic Tamponade after Intraoperative Right Ventricular Rupture Repair with Mediastinal Fat
Javier Gualis1, Mario Castaño1, Miguel Angel Rodríguez1
1Department of Cardiac Surgery, Complejo Asistencial Universitario de León, León, Spain.
Abstract:
Advanced age and female sex are known risk factors for ventricular wall rupture during open-heart procedures. We present the case of an 83-year-old female patient with an intraoperative traumatic right ventricular free wall rupture during an aortic valve replacement procedure. Pledgetted interrupted sutures reinforced with large pieces of mediastinal fat were used for rupture repair. After 6 months, the patient was readmitted with the diagnosis of a retrosternal mediastinal mass and clinical signs of cardiac tamponade that required reoperation.
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