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Repair of left ventricular rupture in a patient with mitral annular calcification

Ken Okamoto1, Hirokazu Tazume1, Ayumi Koga1

  • 1Department of Cardiovascular Surgery, Kumamoto University Hospital, Kumamoto, Japan.

Interactive Cardiovascular and Thoracic Surgery
|March 23, 2017
PubMed

Insights

Idiopathic left ventricular rupture, a rare complication, was successfully repaired in a 56-year-old female. The patient also underwent mitral valve replacement for severe mitral annular calcification.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Medical Imaging

Background:

  • Left ventricular free wall rupture is a known complication after acute myocardial infarction or mitral valve replacement.
  • Idiopathic left ventricular rupture is exceedingly rare, presenting diagnostic and therapeutic challenges.

Observation:

  • A 56-year-old female presented with idiopathic left ventricular rupture.
  • Contrast-enhanced computed tomography (CT) confirmed the rupture, revealing no coronary artery obstruction but severe mitral annular calcification.

Findings:

  • Successful internal repair of the left ventricular rupture using bovine pericardium.
  • Simultaneous mitral valve replacement with annular decalcification was performed.

Implications:

  • This case highlights the feasibility of surgical repair for idiopathic left ventricular rupture.
  • It underscores the importance of advanced imaging like CT in diagnosing rare cardiac emergencies.
  • Successful management in this complex case may inform treatment strategies for similar presentations.

Keywords:
Left ventricular ruptureMitral annular calcificationMitral valve replacement

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